Provider Demographics
NPI:1093091159
Name:SELL, AMANDA M (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:AMANDA
Middle Name:M
Last Name:SELL
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:3970 PERKIOMEN AVENUE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-2718
Mailing Address - Country:US
Mailing Address - Phone:610-779-4786
Mailing Address - Fax:610-370-2946
Practice Address - Street 1:3970 PERKIOMEN AVENUE
Practice Address - Street 2:SUITE 202
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-2718
Practice Address - Country:US
Practice Address - Phone:610-779-4786
Practice Address - Fax:610-370-2946
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2019-11-19
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Provider Licenses
StateLicense IDTaxonomies
PAMA055222363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant