IndividualActive
Amelia Moncho, PA
NPI 1205803863 · Medical Physician Assistant · Edmond, OK
Provider details
- NPI number
- 1205803863
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 1144 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3839 S Boulevard Ste 150
Edmond, OK 73013-5370
Phone: (405) 449-8076
Fax: (405) 674-1574
Approximate (ZIP-level) locationGet directions
Mailing address
3839 S Boulevard Ste 150
Edmond, OK 73013-5370
Registry dates
- Enumerated
- 2006-03-02
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.