Individual provider · Type 1 NPI

Amanda Beaman Davidson, PA

Medical Physician Assistant · Norfolk, VA

NPI number 1023774221 Active

Practice location

844 Kempsville Rd Ste 204
Norfolk, VA 23502-3927

Fax (757) 261-0701

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0110008195 (VA)
Medical Physician Assistant Primary 363AM0700X0110008195 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1023774221

Amanda Beaman Davidson, PA's National Provider Identifier is 1023774221, issued on Nov 11, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Norfolk, VA. The record was last updated on Aug 29, 2024.