NPI 1285941872 · live from the CMS NPI Registry
Amanda Jo Brown, PA-C
Physician Assistant in Fargo, ND. National Provider Identifier 1285941872, active.
NPI record
| NPI | 1285941872 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1720 University Dr S, Fargo, ND 58103 |
| Practice phone | 701-280-4140 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | September 3, 2010 |
| Last updated | July 28, 2021 |
| Sole proprietor | No |
| Other names | Amanda Miller |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical | 363AS0400X | PAC0437 (ND) |
| Physician Assistant primary | 363A00000X | PAC0437 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.