Individual provider · Type 1 NPI
Amanda Marie Mattingley, PA-C
Surgical Physician Assistant · East Lansing, MI
NPI number
1922502947
Active
Practice location
2900 Hannah Blvd Ste 216
East Lansing, MI 48823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 5601009055 (MI) |
Surgical Physician Assistant: Definition to come...
2 other providers at this address
Other surgical physician assistant providers in East Lansing
About NPI 1922502947
Amanda Marie Mattingley, PA-C's National Provider Identifier is 1922502947, issued on Mar 23, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in East Lansing, MI. The record was last updated on Sep 15, 2022.