Doctor Name: | AMANDA B SEGARS-HUFFSTETLER |
NPI Number: | 1053364935 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA60212953 |
Business Practice Address: | 716 First Avenue South Okanogan, WA - 988409679 |
Business Phone Number: | 5094225700 |
Business Fax Number: | 5094227680 |
Mailing Address: | Po Box 1340, OKANOGAN |
State: | WA |
Postal Code: | 988401340 |
Phone Number: | 5094225700 |
Fax Number: | 5094227680 |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 08/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA60212953 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |