Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. AMANDA LEE TAGLIOLI, PA-C
ActiveMRS. AMANDA LEE TAGLIOLI, PA-C is a Medical Physician Assistant healthcare provider located in CUSTER, South Dakota. NPI 1073794269 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CUSTER, SD
Registration Details
- NPI Number
- 1073794269
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 16, 2007 (18.776242237493 yrs)
- Last Updated
- Sep 23, 2015
- License
-
0513 (SD)
Practice Information
- Address
-
1041 MONTGOMERY STREETCUSTER, SD, 577301304Browse SD providers · Browse ZIP 57730
- Phone
- 6056734150
- Fax
- 6056733917
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.