Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA G MARIN, PA-C
DeactivatedAMANDA G MARIN, PA-C is a Physician Assistant healthcare provider located in WILMINGTON, North Carolina. NPI 1356906168 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · WILMINGTON, NC
This NPI has been deactivated.
The record was deactivated on June 9, 2020.
Deactivated NPIs are no longer valid for billing or credentialing.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
- 1356906168
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 7, 2019 (1.0904109589041 yrs)
- Last Updated
- Feb 19, 2025
- Deactivated
- Jun 9, 2020
- Licenses
-
0010-14830 (NC)MA060569 (PA)OA004795 (PA)
Practice Information
- Address
-
8068 MARKET STWILMINGTON, NC, 284119384Browse NC providers · Browse ZIP 28411
- Phone
- 9107967767
- Fax
- 9106867159
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in WILMINGTON, NC
| Name | Credential | NPI |
|---|---|---|
| MS. KIMBERLY BROWN FARMER | PA-C | 1851395198 |
| DANIEL IRVING SHAPIRO | PA-C | 1902805906 |
| JOHN T HOARD | P.A. | 1598764599 |
| KYRA F WILLIAMS | PA-C | 1992704902 |
| LUTHER W FREAS | PA-C | 1205835204 |
| DANIEL ANDREW CULBRETH | PA | 1982606638 |
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.