Individual provider · Type 1 NPI
Amy L. Beaver, PA
Surgical Physician Assistant · St. Clairsville, OH
NPI number
1386794378
Active
Practice location
109 Plaza Dr, Suite A-2
St. Clairsville, OH 43950-7713
Fax (304) 233-6073
Mailing address
PO Box 6824
Wheeling, WV 26003-0921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 00630 (WV) |
| Surgical Physician Assistant | 363AS0400X | 50001186 (OH) |
| Physician Assistant | 363A00000X | 50001186 (OH) |
| Surgical Physician Assistant Primary | 363AS0400X | 00630 (WV) |
Surgical Physician Assistant: Definition to come...
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About NPI 1386794378
Amy L. Beaver, PA's National Provider Identifier is 1386794378, issued on Jan 11, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Clairsville, OH. The record was last updated on Sep 11, 2025.