Healthcare Provider Details

I. General information

NPI: 1831278597
Provider Name (Legal Business Name): AMY L TURNER PAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 TURNPIKE AVE
CLEARFIELD PA
16830-3061
US

IV. Provider business mailing address

809 TURNPIKE AVE
CLEARFIELD PA
16830-1232
US

V. Phone/Fax

Practice location:
  • Phone: 814-768-7618
  • Fax: 814-768-7508
Mailing address:
  • Phone: 814-768-2356
  • Fax: 814-768-2134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberOA000927
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA051554
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: