Individual provider · Type 1 NPI

Amy Marie Leiter, PA-C

Physician Assistant · Vandenberg Afb, CA

NPI number 1104587567 Active

Practice location

338 S Dakota Ave
Vandenberg Afb, CA 93437-6307

Call (301) 302-3861 Map

Mailing address

224 Ash Ave
Nipomo, CA 93444-5027

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104587567

Amy Marie Leiter, PA-C's National Provider Identifier is 1104587567, issued on Jan 6, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Vandenberg Afb, CA. The record was last updated on Jan 12, 2026.