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Contact Information

AMANDA L WILLIS, PA
1215 LEE ST
CHARLOTTESVILLE, VA22908-0816
 Phone: 434-924-2283
 Fax: 434-982-0019
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for AMANDA L WILLIS · (Female)

NPI Number 1669247896
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 11/17/2023
Last updated 12/09/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0110009670
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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