Amanda Marie Ilag, AGNP
NPI #1114745783 in Berkeley, California
Provider Information
- NPI Number
- 1114745783
- Entity Type
- Individual
- Name
- Amanda Marie Ilag, AGNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Primary Care
- Credential
- AGNP
- Enumeration Date
- Oct 1, 2024
- Last Updated
- Jan 16, 2025
Practice Location
- Address
- 1901 4TH ST STE 201
- City
- Berkeley
- State
- California
- ZIP Code
- 94710-1986
- Phone
- (510) 929-1400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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