Provider Demographics
NPI:1184449845
Name:AMANDA MORGAN BEAL
Entity type:Organization
Organization Name:AMANDA MORGAN BEAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:MORGAN BEAL
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:412-818-3277
Mailing Address - Street 1:329 STITT HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:FORD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16226-4907
Mailing Address - Country:US
Mailing Address - Phone:412-818-3277
Mailing Address - Fax:
Practice Address - Street 1:329 STITT HOLLOW RD
Practice Address - Street 2:
Practice Address - City:FORD CITY
Practice Address - State:PA
Practice Address - Zip Code:16226-4907
Practice Address - Country:US
Practice Address - Phone:412-818-3277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty