Individual
AMANDA FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2855 10TH ST STE B, GERING, NE 69341-2202
(308) 633-1325
Mailing address
2855 10TH ST STE B, GERING, NE 69341-2202
(308) 633-1325
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2837
NE
363AM0700X
Medical Physician Assistant
PA962
WY
Other
Enumeration date
08/01/2016
Last updated
06/14/2024
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