Provider Demographics
NPI:1689027237
Name:PARTRIDGE, AMANDA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:
Last Name:PARTRIDGE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8422 N 123RD EAST AVE
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-2130
Mailing Address - Country:US
Mailing Address - Phone:918-858-4353
Mailing Address - Fax:866-246-2942
Practice Address - Street 1:8422 N 123RD EAST AVE
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-2130
Practice Address - Country:US
Practice Address - Phone:918-858-4353
Practice Address - Fax:866-246-2942
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant