Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. AMANDA RAE WHITESIDE, PA-C
Active Sole ProprietorMRS. AMANDA RAE WHITESIDE, PA-C is a Surgical Physician Assistant healthcare provider located in SUN CITY WEST, Arizona. NPI 1396210621 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SUN CITY WEST, AZ
Registration Details
- NPI Number
- 1396210621
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 13, 2018 (7.8561531640883 yrs)
- Last Updated
- Aug 11, 2025
- Licenses
-
7530 (AZ)7530 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14520 W GRANITE VALLEY DR STE 210SUN CITY WEST, AZ, 853755855Browse AZ providers · Browse ZIP 85375
- Phone
- 8669742673
- Fax
- 8669392673
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in SUN CITY WEST, AZ
| Name | Credential | NPI |
|---|---|---|
| NICOLAS JAMES ZASTROW | PA | 1972797173 |
| CHRISTINA LORRAINE WOOLDRIDGE | PA-C | 1700054335 |
| AARON TIMOTHY CLARE | PA-C | 1760636526 |
| WHITNEY R WERNER | PA | 1740424670 |
| BRADFORD GIBSON TENNEY | PA-C | 1043599814 |
| JOSHUA SHAWN LOGGINS | PA-C | 1295163699 |
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.