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Amy Burgess Liberace, PA-C

Physician Assistant in Harrisonburg, VA. Individual provider (NPI-1).

NPI number1528093341
StatusActive
Last updated in NPPESFeb 5, 2020

Details

NPI
1528093341
Entity type
Individual (NPI-1)
Name
Amy Burgess Liberace
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 11, 2006
Certification date
Feb 5, 2020
Last updated
Feb 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant0110002750VAYes
363A00000X Physician Assistant103896NC

Practice location

25 W Water St
Harrisonburg, VA 22801-3624

Phone 540-433-5431

Mailing address

Po Box 890195
Charlotte, NC 28289-0195

Phone 336-547-1877

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