Individual
AMANDA HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4815 LIBERTY AVE, SUITE GR 70, PITTSBURGH, PA 15224-2156
(412) 578-4484
(412) 605-6538
Mailing address
4815 LIBERTY AVE, SUITE GR 70, PITTSBURGH, PA 15224-2156
(412) 578-4484
(412) 605-6538
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057267
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003155918
HIGHMARK MEDICARE ADVANTAGE
PA
05
—
103203304
—
PA
Enumeration date
02/03/2015
Last updated
03/31/2017
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