Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. AMANDA LYN FIDIAM, PA-C
ActiveMRS. AMANDA LYN FIDIAM, PA-C is a Medical Physician Assistant healthcare provider located in MOOSIC, Pennsylvania. NPI 1003193202 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MOOSIC, PA
Registration Details
- NPI Number
- 1003193202
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 16, 2011 (14.599297452727 yrs)
- Last Updated
- Sep 4, 2014
- License
-
MA055142 (PA)
Practice Information
- Address
-
340 MONTAGE MOUNTAIN RDMOOSIC, PA, 185071782Browse PA providers · Browse ZIP 18507
- Phone
- 5703463686
- Fax
- 5705586838
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in MOOSIC, PA
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS ANTHONY PATTS | PA-C | 1568410413 |
| MICHELLE BAKER | PA-C | 1255377545 |
| JULIE OJA | PA-C | 1548365166 |
| DARYL KROUSE | PA-C | 1245462696 |
| JADE LYNN HOLLEY | PAC | 1134421183 |
| KACEY A TOMKO | PA-C, MPAS | 1104122233 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.