DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. AMANDA MADRID, PA-C

Active Sole Proprietor

MS. AMANDA MADRID, PA-C is a Physician Assistant healthcare provider located in STANSBURY PARK, Utah. NPI 1164971560 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · STANSBURY PARK, UT

Registration Details

NPI Number
1164971560
Provider Type
Individual
Gender
Female
NPI Issued
Sep 26, 2016 (9.8558927834035 yrs)
Last Updated
Nov 18, 2021
License
10097228-1206 (UT)
Sole Proprietor
Yes

Practice Information

Address
220 MILLPOND
STANSBURY PARK, UT, 840749745
Browse UT providers · Browse ZIP 84074
Phone
4358433096
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in STANSBURY PARK, UT

Name Credential NPI
MS. JOHANNA E GREENBERG PA-C 1013102979
CAMERON COOPER PA 1518453976
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.