Doctor Name: | AMANDA E EARL |
NPI Number: | 1861501363 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 0337P |
Business Practice Address: | 9149 Estate Thomas Paragon Medical Building Suite 104 St. Thomas, VI - 00802 |
Business Phone Number: | 3407142845 |
Business Fax Number: | |
Mailing Address: | 9149 Estate Thomas, Suite 1074 ST THOMAS |
State: | VI |
Postal Code: | 008022615 |
Phone Number: | 3407142845 |
Fax Number: | 6039243993 |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 09/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 0337P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |