Individual
AMANDA KAYE BLISS
Active
Individual
AMANDA KAYE BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
006528-1
NY
363AM0700X
Medical Physician Assistant
014596-1
NY
363AM0700X
Medical Physician Assistant
01753
WV
363AM0700X
Medical Physician Assistant
Primary
C0007382
MD
Other
Enumeration date
02/07/2011
Last updated
07/16/2025
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