Provider Demographics
NPI:1093220535
Name:POWELL, AMY E (PA-C)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:POWELL
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:223 WILMINGTON W CHESTER PIKE
Mailing Address - Street 2:STE 214
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-9007
Mailing Address - Country:US
Mailing Address - Phone:844-365-7246
Mailing Address - Fax:610-361-7956
Practice Address - Street 1:301 S 7TH AVE STE 3220
Practice Address - Street 2:
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1493
Practice Address - Country:US
Practice Address - Phone:610-376-8671
Practice Address - Fax:610-376-6387
Is Sole Proprietor?:No
Enumeration Date:2017-12-06
Last Update Date:2021-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC5-0001368363AM0700X
PAMA059634363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical