Individual
AMANDA P SIFUENTES-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-9666
Mailing address
2000 UNIVERSITY AVE, DUBUQUE, IA 52001-5099
(563) 589-3662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/28/2024
Last updated
02/06/2026
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