IndividualActive
Amanda Elder, PAC
NPI 1215900048 · Physician Assistant · Tulsa, OK
Provider details
- NPI number
- 1215900048
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- 1429 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1705 E 19th St
Suite 302
Tulsa, OK 74104-5405
Phone: (918) 748-7585
Fax: (918) 403-6352
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 25277
Overland Park, KS 66225-5277
Registry dates
- Enumerated
- 2006-02-10
- Last updated
- 2016-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.