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

MS. AMANDA MANCUSO, PA

Deactivated

MS. AMANDA MANCUSO, PA is a Physician Assistant healthcare provider located in MONROEVILLE, Pennsylvania. NPI 1215254800 is deactivated in the NPPES registry. Verify at CMS.

Physician Assistant · MONROEVILLE, PA

This NPI has been deactivated. The record was deactivated on March 12, 2010. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1215254800
Provider Type
Individual
Gender
Female
NPI Issued
May 27, 2006 (3.7917808219178 yrs)
Last Updated
Oct 31, 2023
Deactivated
Mar 12, 2010
License
MA052420 (PA)

Practice Information

Address
2580 HAYMAKER RD STE 201
MONROEVILLE, PA, 151463500
Browse PA providers · Browse ZIP 15146
Phone
4128567500
Fax
4128566079
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MONROEVILLE, PA

Name Credential NPI
MATTHEW DAVID BURGER PA-C 1932195856
SUSAN A BOSS PA-C 1306829023
SUSAN L ODONNELL PA-C 1417931981
THEODORE BRIAN BAKOWICZ PA-C 1194799072
STACEY L LITZINGER PA-C 1003871245
JOEL C SOCASH PA-C 1902861834
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.