Individual ProviderAmanda GlassRegistered NurseNursing Service ProvidersPractice Address330 Campus Dr, Hanford, CA 93230-4375(559) 852-4503PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Glass does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1023474020Provider TypeIndividualFull NameGlass, AmandaCredentialRNGenderFemaleSole ProprietorYesEnumeration Date1/6/2016Last Updated1/6/2016Contact InformationPractice LocationPractice Address330 Campus Dr, Hanford, CA 93230-4375Phone(559) 852-4503FaxUnlisted FaxMailing LocationMailing Address330 Campus Dr, Hanford, CA 93230-4375Phone(559) 852-4503FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense95074332California