IndividualActive
Amanda Thoburn
NPI 1225699127 · Physician Assistant · Grafton, WV
Provider details
- NPI number
- 1225699127
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
2627 Paul E Malone Rd
Grafton, WV 26354-7141
Phone: (304) 771-7887
Approximate (ZIP-level) locationGet directions
Mailing address
2627 Paul E Malone Rd
Grafton, WV 26354-7141
Registry dates
- Enumerated
- 2019-06-22
- Last updated
- 2022-04-08
- Certified
- 2022-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.