Individual provider · Type 1 NPI

Amanda Jeanette Derosa, PA-C

Physician Assistant · State College, PA

NPI number 1588909659 Active

Practice location

915 Benner Pike
State College, PA 16801-7395

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA055829 (PA)
Medical Physician Assistant 363AM0700XMA055829 (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…

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About NPI 1588909659

Amanda Jeanette Derosa, PA-C's National Provider Identifier is 1588909659, issued on Nov 30, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in State College, PA. The record was last updated on Jul 10, 2026.