Individual
AMANDA A LINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
775 S ARLINGTON AVE, HARRISBURG, PA 17109-5002
(717) 782-5905
(717) 782-5908
Mailing address
775 S ARLINGTON AVE, HARRISBURG, PA 17109-5002
(717) 782-5905
(717) 782-5908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058451
PA
363AM0700X
Medical Physician Assistant
MA058451
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103197403
—
PA
Enumeration date
08/16/2016
Last updated
12/02/2021
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