| Doctor Name: | MRS. AMANDA LYNN SIMONTON |
| NPI Number: | 1295822682 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | C0003382 |
| Business Practice Address: | 9605 Redwing Dr Perry Hall, MD - 211289392 |
| Business Phone Number: | 4103035068 |
| Business Fax Number: | |
| Mailing Address: | 9605 Redwing Dr, PERRY HALL |
| State: | MD |
| Postal Code: | 211289392 |
| Phone Number: | 4103035068 |
| Fax Number: | |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 09/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | C0003382 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |