IndividualActive
Amanda Mattingley, PA-C
NPI 1922502947 · Surgical Physician Assistant · East Lansing, MI
Provider details
- NPI number
- 1922502947
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601009055 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2900 Hannah Blvd Ste 216
East Lansing, MI 48823
Phone: (517) 364-8100
Approximate (ZIP-level) locationGet directions
Mailing address
2900 Hannah Blvd Ste 216
East Lansing, MI 48823-5382
Registry dates
- Enumerated
- 2018-03-23
- Last updated
- 2022-09-15
- Certified
- 2022-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.