Individual provider · Type 1 NPI
Amanda Renee Pickles, PA-C
Medical Physician Assistant · Philadelphia, PA
NPI number
1679755169
Active
Practice location
3400 Spruce St, 3 Dulles Building
Philadelphia, PA 19104-4206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA052629 (PA) |
Medical Physician Assistant: Definition to come...
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About NPI 1679755169
Amanda Renee Pickles, PA-C's National Provider Identifier is 1679755169, issued on Nov 27, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 18, 2011.