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NPI Code Detail

MEDICARE: AMANDA WEISHAR PATTERSON PA-C

MEDICARE: AMANDA WEISHAR PATTERSON PA-C
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 Assistant2743WV
2363A00000XPhysician AssistantMA063263PA
3363A00000XPhysician Assistant643WV
4363A00000XPhysician Assistant50.004347RXOH

General Provider Information

NPI Number : 1750797866
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA WEISHAR PATTERSON PA-C
Provider Business Mailing Address
First Line : 136 WESTGATE DR
Second Line :
City : WHEELING
State : WV
Zip : 26003-4958
Country : US
Telephone Number : 304-281-0103
Fax Number : 304-232-6128
Provider Business Practice Location Address
First Line : 500 CABELA DR
Second Line :
City : TRIADELPHIA
State : WV
Zip : 26059-1044
Country : US
Telephone Number : 618-618-1011
Fax Number : 304-551-0201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2014
Last Update Date : 12/11/2025

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Directions to “ AMANDA WEISHAR PATTERSON PA-C” Practice Location

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