Amanda Moloney, PA
Physician Assistant in Taylorsville, UT. Individual provider (NPI-1).
NPI number1184774150
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1184774150
- Entity type
- Individual (NPI-1)
- Name
- Miss Amanda Moloney
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 6417092-1206 | UT | Yes |
Practice location
6321 South Redwood RoadSuite 102
Taylorsville, UT 84123
Phone 801-685-7246
Mailing address
2033 Rainbow Point DrSalt Lake City, UT 84124-1719
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Physician Assistant providers in Taylorsville · All 3,083 providers in Taylorsville
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