Individual
AMANDA NICOLE PRISTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4815 LIBERTY AVE STE 439, PITTSBURGH, PA 15224-2156
(724) 260-7300
Mailing address
4815 LIBERTY AVE STE 439, PITTSBURGH, PA 15224-2156
(724) 260-7300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA066623
PA
363AS0400X
Surgical Physician Assistant
Primary
MA066623
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16511084
CAQH
—
Enumeration date
05/31/2025
Last updated
06/25/2025
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