Wiermann, Amanda Marie

Wiermann, Amanda Marie is an individual health care provider with primary practice located at 69 Clymer St , Port Jefferson Station NY 11776-3753. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wiermann, Amanda Marie can be contacted via phone (631) 828-5419.

Contact Information

Primary practice address
69 Clymer St Port Jefferson Station NY 11776-3753
Phone: (631) 828-5419
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 006495 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006495 New York

Profile Details

NPI number 1023378874
LBN Legal business name Wiermann, Amanda Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2012
Last updated Aug 21st, 2023 - about last year

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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