Individual
AMANDA E EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9149 ESTATE THOMAS PARAGON MEDICAL BUILDING, SUITE 104, ST. THOMAS, VI 00802
(340) 714-2845
Mailing address
9149 ESTATE THOMAS, SUITE 1074, ST THOMAS, VI 00802-2615
(340) 714-2845
(603) 924-3993
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0337P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30331366
—
NH
Enumeration date
08/29/2006
Last updated
09/26/2007
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