Individual
MS. AMY MARIE SQUEGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 353-9400
Mailing address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 353-9400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA21669
CA
363A00000X
Physician Assistant
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
471450282A
—
GA
05
—
471450282B
—
GA
01
—
97WCJNV
MEDICARE
GA
Enumeration date
12/14/2006
Last updated
08/02/2023
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