Healthcare Provider Details

I. General information

NPI: 1295018356
Provider Name (Legal Business Name): AMANDA F BOWES PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2011
Last Update Date: 02/11/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11277 VERNON PLACE SUITE 200
MEADVILLE PA
16335-3717
US

IV. Provider business mailing address

11277 VERNON PLACE SUITE 200
MEADVILLE PA
16335-3717
US

V. Phone/Fax

Practice location:
  • Phone: 814-724-1252
  • Fax: 814-337-6043
Mailing address:
  • Phone: 814-724-1252
  • Fax: 814-337-6043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: