IndividualActive
Amanda Wilson, PHYSICIAN ASSISTANT
NPI 1467976084 · Medical Physician Assistant · Springfield, MA
Provider details
- NPI number
- 1467976084
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
759 Chestnut St Ste C3350
Springfield, MA 01107-1619
Phone: (413) 794-6297
Fax: (413) 794-1767
Approximate (ZIP-level) locationGet directions
Mailing address
280 Chestnut St Fl 2
Springfield, MA 01199-1001
Registry dates
- Enumerated
- 2017-07-26
- Last updated
- 2023-01-23
- Certified
- 2023-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.