Individual
MS. AMANDA STOLL MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 OFFICE CENTER DR, SUITE 195, FORT WASHINGTON, PA 19034-3220
(215) 836-7900
(215) 836-7900
Mailing address
151 SOUTHHALL LN, STE 300, MAITLAND, FL 32751-7172
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051045
PA
363A00000X
Physician Assistant
OA002353
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RAILROAD MEDICARE
P00125664
PA
Enumeration date
01/22/2007
Last updated
01/11/2017
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