Individual
AMANDA R OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2315 MYRTLE ST, SUITE 290, ERIE, PA 16502-4602
(814) 454-1142
(814) 454-1255
Mailing address
232 WEST 25TH STREET, ERIE, PA 16544
(814) 452-5337
(814) 452-5442
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053108
PA
Other
Enumeration date
09/13/2007
Last updated
08/28/2017
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