Individual
AMY MADDERRA HOVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2955 MARKET ST STE B, CHRISTIANSBURG, VA 24073-6575
(540) 381-6211
(540) 645-6623
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002379
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110002379
STATE LICENSE
VA
05
—
PENDING
—
VA
Enumeration date
08/15/2006
Last updated
06/16/2022
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