# MS. AMANDA RAE HUITE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669708889
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 085.003634 | IL | — |
| 363A00000X | Physician Assistant | PA2142 | NV | Yes |
| 363A00000X | Physician Assistant | PA56838 | CA | — |

## Other

- **Enumeration date:** 10/22/2009
- **Last updated:** 12/17/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 208084 | MEDICARE GROUP NUMBER | IL |
| 01 | — | 214881 | GROUP PTAN | IL |