Amanda Nicole Andrei, PA-C
Physician Assistant in Phoenix, AZ. Individual provider (NPI-1).
NPI number1033765177
StatusActive
Last updated in NPPESAug 1, 2022
Details
- NPI
- 1033765177
- Entity type
- Individual (NPI-1)
- Name
- Amanda Nicole Andrei
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2019
- Certification date
- Jul 28, 2022
- Last updated
- Aug 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Other names
- Amanda Andrei Wasson (Former Name)
Practice location
3333 E Van Buren StPhoenix, AZ 85008-6812
Phone 602-275-7852
Mailing address
300 W Clarendon Ave Ste 200Phoenix, AZ 85013-3422
Phone 602-776-0776
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