National Provider Identifier
Amanda N Wilson, PA
Amanda N Wilson, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Cheektowaga, NY and a listed phone number of (716) 681-9000.
Profile Overview
- NPI
- 1467826776
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 24, 2015
- Last Updated
- May 02, 2021
Practice Location
- 3884 Broadway St
- Cheektowaga, NY 14227-1111
Phone: (716) 681-9000
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1467826776
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Amanda
- Middle Name
- N
- Credential
- PA
- Provider Other Last Name
- Smith
- Provider Other First Name
- Amanda
- Provider Other Middle Name
- N
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3884 Broadway St
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14227-1111
- Mailing Country
- US
- Mailing Phone
- (716) 681-9000
- Mailing Fax
- (716) 256-1079
- Practice Street Address
- 3884 Broadway St
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14227-1111
- Practice Country
- US
- Practice Phone
- (716) 681-9000
- Enumeration Date
- November 24, 2015
- Last Updated
- May 02, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 02, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 8391586 (NY, Cigna), 8204874 (NY, Mvp)