IndividualActive
Amanda Palumbo, PA
NPI 1710192075 · Physician Assistant · Moore, OK
Provider details
- NPI number
- 1710192075
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1625 (OK)
Mailing address
22722 State Highway 74
Purcell, OK 73080-6953
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.