Individual
AMANDA CHRISTINE ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 451-6682
Mailing address
201 1ST AVE, FAIRBANKS, AK 99701-4848
(907) 452-8251
(907) 459-3987
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
208598
AK
363AM0700X
Medical Physician Assistant
8608
GA
363AM0700X
Medical Physician Assistant
PA2754
SC
Other
Enumeration date
06/19/2017
Last updated
10/04/2023
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