Individual provider · Type 1 NPI
Amanda Warden, PA-C
Medical Physician Assistant · Fayetteville, TN
NPI number
1124457650
Active
Practice location
89 Cowley Hollow Rd
Fayetteville, TN 37334-6947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
About NPI 1124457650
Amanda Warden, PA-C's National Provider Identifier is 1124457650, issued on Nov 5, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fayetteville, TN. The record was last updated on Nov 5, 2013.