Individual provider · Type 1 NPI

Amanda R. Phelps, PA-C

Medical Physician Assistant · Shreveport, LA

NPI number 1629683230 Active

Practice location

3217 Mabel St
Shreveport, LA 71103-4022

Fax (318) 631-9126

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X324297 (LA)

Medical Physician Assistant: Definition to come...

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About NPI 1629683230

Amanda R. Phelps, PA-C's National Provider Identifier is 1629683230, issued on Sep 10, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Shreveport, LA. The record was last updated on Sep 15, 2022.