Madrid, Amanda

Madrid, Amanda is an sole proprietor health care provider with primary practice located at 220 Millpond , Stansbury Park UT 84074-9745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Madrid, Amanda can be contacted via phone (435) 843-3096.

Contact Information

Primary practice address
220 Millpond Stansbury Park UT 84074-9745
Phone: (435) 843-3096
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10097228-1206 Utah

Profile Details

NPI number 1164971560
LBN Legal business name Madrid, Amanda
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2016
Last updated Nov 18th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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