Individual
AMANDA MARIE PLAMBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 CHILDRENS LN, CARDIAC SURGERY 5TH FLOOR, NORFOLK, VA 23507-1910
(757) 668-8850
Mailing address
PO BOX 741593, ATLANTA, GA 30374-1593
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003855
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144581372
—
VA
Enumeration date
06/05/2012
Last updated
12/10/2012
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