Amanda Jean Elder, PAC

Physician Assistant · Tulsa, OK

Individual Active NPI

NPI number 1215900048

Practice location

1705 E 19TH St
Suite 302
Tulsa, OK 74104-5405
Phone
(918) 748-7585
Fax
(918) 403-6352

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NPI record

NPI
1215900048
Entity type
Individual (Type 1)
Enumeration date
February 10, 2006
Last updated
July 22, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 1429 OK

Mailing address

PO Box 25277
Overland Park, KS 66225-5277
Phone
(918) 307-6920
Fax
(918) 307-6951

About Amanda Elder

Amanda Jean Elder, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1705 E 19TH St, Suite 302, Tulsa, OK 74104-5405. The NPI number 1215900048 was assigned on February 10, 2006 and the record was last updated on July 22, 2016.

Amanda Elder lists a license in the registry: #1429 (OK) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Jean Elder, PAC?

The NPI number is 1215900048.

What is the phone number of Amanda Elder?

The phone number listed for the practice location is (918) 748-7585.

Where is Amanda Elder located?

1705 E 19TH St, Suite 302, Tulsa, OK 74104-5405.

What is the taxonomy code for Amanda Elder?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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