Provider Demographics
NPI:1922778992
Name:SIPOVAC, AMANDA JENNIFER MONROE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:JENNIFER MONROE
Last Name:SIPOVAC
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:44311 MONTEREY AVE
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-2710
Mailing Address - Country:US
Mailing Address - Phone:760-773-6616
Mailing Address - Fax:760-773-6618
Practice Address - Street 1:44311 MONTEREY AVE
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-2710
Practice Address - Country:US
Practice Address - Phone:760-773-6616
Practice Address - Fax:760-773-6618
Is Sole Proprietor?:No
Enumeration Date:2021-09-20
Last Update Date:2023-02-15
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant