Individual
AMANDA M ACHENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
55 MONUMENT RD, YORK, PA 17403-5023
(717) 851-4005
(717) 812-2495
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA055541
PA
363AM0700X
Medical Physician Assistant
Primary
MA055541
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1610304
GATEWAY MEDICARE ASSURED
PA
Enumeration date
06/14/2012
Last updated
09/17/2024
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