MS. AMANDA J BALTIERRA FNP-BC NPI 1215996962

NPI Information

  • NPI: 1215996962
  • Provider Name: MS. AMANDA J BALTIERRA, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 180 GRAFTON LN
    BERRYVILLE, VA
    ZIP 22611
  • Phone: (540) 955-2400

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NPI Details

MS. Amanda J Baltierra, FNP-BC is a family nurse practitioner in Berryville, VA. MS. Amanda J Baltierra, FNP-BC NPI is 1215996962. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

180 GRAFTON LN
BERRYVILLE, VA
ZIP 22611-576
Phone: (540) 955-2400
Fax: (540) 955-9765

The enumeration date for this NPI number is 3/21/2006 and was last updated on 1/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily0024167997VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q31171MEDICARE UPIN
2BA6032481MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA
33810001726MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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