Provider Demographics
NPI:1902074230
Name:HUTTON PARROTT, AMANDA ANNE (RN, DPT, NP)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:ANNE
Last Name:HUTTON PARROTT
Suffix:
Gender:F
Credentials:RN, DPT, NP
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:ANNE
Other - Last Name:PARROTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, DPT
Mailing Address - Street 1:400 PARNASSUS AVENUE BOX 0378 ROOM A422
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0001
Mailing Address - Country:US
Mailing Address - Phone:415-353-2463
Mailing Address - Fax:415-353-2406
Practice Address - Street 1:400 PARNASSUS AVENUE BOX 0378 ROOM A422
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-353-2463
Practice Address - Fax:415-353-2406
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA663978163W00000X
CA26981225100000X
CA17508363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist