Individual
AMY BETH CHRISTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-5908
(717) 782-5716
Mailing address
118 WASHINGTON ST, HARRISBURG, PA 17104-1677
(717) 231-8539
(717) 231-8588
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA0032001
PA
363AM0700X
Medical Physician Assistant
Primary
MA0032001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50026379
CAPITAL BC
PA
Enumeration date
06/06/2006
Last updated
01/16/2021
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