Provider Demographics
NPI:1780447805
Name:DAILEY, AMENAH (PA-C)
Entity type:Individual
Prefix:
First Name:AMENAH
Middle Name:
Last Name:DAILEY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1819 EVERGREEN EAST PKWY UNIT 12301
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-3323
Mailing Address - Country:US
Mailing Address - Phone:281-509-5764
Mailing Address - Fax:
Practice Address - Street 1:13911 ST FRANCIS BLVD STE 101
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-3256
Practice Address - Country:US
Practice Address - Phone:804-423-9913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2025-10-27
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant