Provider Demographics
NPI:1972837540
Name:DUDAS, AMY KATHRYN (PA)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:KATHRYN
Last Name:DUDAS
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Gender:F
Credentials:PA
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Mailing Address - Street 1:240 W 11TH ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-1758
Mailing Address - Country:US
Mailing Address - Phone:814-452-2218
Mailing Address - Fax:814-452-4639
Practice Address - Street 1:240 W 11TH ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-1758
Practice Address - Country:US
Practice Address - Phone:814-452-2218
Practice Address - Fax:814-452-4639
Is Sole Proprietor?:No
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
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Provider Licenses
StateLicense IDTaxonomies
PAMA054025363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical