Provider Demographics
NPI:1295048643
Name:VOLKMANN, AMY L (PA)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:L
Last Name:VOLKMANN
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:6160 KEMPSVILLE CIR
Mailing Address - Street 2:SUITE 200 A
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3933
Mailing Address - Country:US
Mailing Address - Phone:757-622-6315
Mailing Address - Fax:757-625-6940
Practice Address - Street 1:3907 BRIDGE RD STE 200
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-1133
Practice Address - Country:US
Practice Address - Phone:757-622-6315
Practice Address - Fax:757-622-7022
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2024-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0110003335363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVAA103999OtherMEDICARE PTAN