Most Relevant Information
Provider Data
| NPI Number: | 1003368770 |
| Provider Name: | AMANDA LEAH PACZKOWSKI CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | SP016405 |
Most Important Dates
| Enumeration Date: | 10/28/2016 |
| Last Updated: | 09/15/2018 |
Provider Practice Location
1000 HIGBEE DR
SUITE D 202
BETHEL PARK
PA
151024200
Practice Location Phone/Fax
| Phone: | 4128336176 |
| Fax: | 4128336421 |
Provider Mailing Location
1000 HIGBEE DR
SUITE D 202
BETHEL PARK
PA
151024200
Provider Mailing Phone/Fax
| Phone: | 4128336176 |
| Fax: | 4128336421 |