Amanda Shadle

NPI 1881193217 · on the registry since 2018

Practice

Address: 1201 Grampian Blvd
Williamsport, PA 17701
Phone: (570) 321-2020
Fax: (570) 320-7599
Organisation at this address: Durriya S Esaa
Susquehanna Ventures, Inc.
Susquehanna Ventures, Inc.
Susquehanna Physician Services
Susquehanna Physician Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-02-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania