Provider Demographics
NPI:1245994789
Name:BEDNAR, AMANDA LYNN (PA-C)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:LYNN
Last Name:BEDNAR
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:401 150TH AVE APT 231
Mailing Address - Street 2:
Mailing Address - City:MADEIRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33708-2069
Mailing Address - Country:US
Mailing Address - Phone:727-501-4704
Mailing Address - Fax:
Practice Address - Street 1:1301 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3120
Practice Address - Country:US
Practice Address - Phone:727-565-2423
Practice Address - Fax:484-526-4658
Is Sole Proprietor?:No
Enumeration Date:2021-10-29
Last Update Date:2023-03-23
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant