Individual provider · Type 1 NPI

Amanda C. Mamrak, PA-C

Physician Assistant · Meridian, ID

NPI number 1255627196 Active

Practice location

3399 E Louise Dr Ste 400
Meridian, ID 83642-5212

Fax (208) 706-4651

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 100 N Academy Ave, Danville, PA 17822-2170 · (570) 271-6361

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X3261975 (ID)
Physician Assistant 363A00000XMA054911 (PA)

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…

6 other providers at this address

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About NPI 1255627196

Amanda C. Mamrak, PA-C's National Provider Identifier is 1255627196, issued on Jun 20, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Meridian, ID. The record was last updated on Mar 27, 2025.