Amanda Kaye Bliss, Physician Assistant
Physician Assistant, Medical in Frederick, MD. Individual provider (NPI-1).
NPI number1972809044
StatusActive
Last updated in NPPESJul 16, 2025
Details
- NPI
- 1972809044
- Entity type
- Individual (NPI-1)
- Name
- Amanda Kaye Bliss
- Credential
- Physician Assistant
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2011
- Certification date
- Jul 16, 2025
- Last updated
- Jul 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | C0007382 | MD | Yes |
| 133VN1006X | Dietitian, Registered, Nutrition, Metabolic | 006528-1 | NY | |
| 363AM0700X | Physician Assistant, Medical | 014596-1 | NY | |
| 363AM0700X | Physician Assistant, Medical | 01753 | WV |
Practice location
194 Thomas Johnson DrFrederick, MD 21702-4679
Phone 240-215-6310 · Fax 240-566-7754
Mailing address
1 Frederick Health WayFrederick, MD 21701-9435
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