Provider Demographics
NPI:1447835756
Name:BARONE, AMANDA NOEL
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:NOEL
Last Name:BARONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15111 WHITTIER BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-3307
Mailing Address - Country:US
Mailing Address - Phone:424-419-5514
Mailing Address - Fax:
Practice Address - Street 1:15111 WHITTIER BLVD STE 250
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-3307
Practice Address - Country:US
Practice Address - Phone:424-419-5514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-17
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program