Healthcare Provider Details

I. General information

NPI: 1316136351
Provider Name (Legal Business Name): AMANDA BETH BYERS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2007
Last Update Date: 08/15/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 BURNETT COURT
DURANGO CO
81301-3647
US

IV. Provider business mailing address

2 BURNETT COURT
DURANGO CO
81301-3647
US

V. Phone/Fax

Practice location:
  • Phone: 970-385-4022
  • Fax: 970-385-4337
Mailing address:
  • Phone: 970-385-4022
  • Fax: 970-385-4337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberPA05445
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA05445
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA0004582
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: