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NPI Code Detail

MEDICARE: AMANDA NICOLE MAPLES PA

MEDICARE:   AMANDA NICOLE MAPLES  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA2958TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2PA2958OTHERTNLICENSE

General Provider Information

NPI Number : 1043666886
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA NICOLE MAPLES PA
Provider Business Mailing Address
First Line : PO BOX 23329
Second Line :
City : NEW YORK
State : NY
Zip : 10087-3329
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1450 DOWELL SPRINGS BLVD STE 210
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-2448
Country : US
Telephone Number : 865-524-2547
Fax Number : 865-205-5601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2016
Last Update Date : 04/02/2026

Similar Medicare Providers

1124303334 — MR. MARCUS RENE ORTIZ JR. PA-C
Practice Location Address:
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1134105919 — DR. EDWARD JOHN PRIMKA III M.D.
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1447201264 — SHARON L MCNUTT P.A.
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KNOXVILLE, TN
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1649639154 — TIMOTHY EDWARD VANCE PA-C
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1083143226 — ANNE ELIZABETH ALLEN MD
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1952017139 — WHITNEY STONE SHARP NP
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Directions to “ AMANDA NICOLE MAPLES PA” Practice Location

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