IndividualActive
Amanda Shawgo
NPI 1104364736 · Contractor · Ephrata, PA
Provider details
- NPI number
- 1104364736
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- MSG003657 (PA)
Specialties & taxonomies
Other Service Providers
Practice location
918 N Reading Rd
Ephrata, PA 17522-9794
Phone: (717) 335-2338
Approximate (ZIP-level) locationGet directions
Mailing address
239 Boomerang Dr
Ephrata, PA 17522-2442
Registry dates
- Enumerated
- 2017-02-02
- Last updated
- 2017-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.