Provider Demographics
NPI:1245883628
Name:COVATTO, AMELIA TAYLOR (PA-C)
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:TAYLOR
Last Name:COVATTO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 MYRTLE ST STE 290
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16502-4609
Mailing Address - Country:US
Mailing Address - Phone:814-879-6636
Mailing Address - Fax:
Practice Address - Street 1:2315 MYRTLE ST STE 290
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16502-4609
Practice Address - Country:US
Practice Address - Phone:814-879-6636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-24
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
PAMA060901363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant