NPI 1750965216

Amanda Mickens

Practitioner Peer Specialist Oil City, PA

Practice location

Address: 815 Grandview Road, Oil City, PA 16301-2077
Phone: (814) 676-5614
Fax: (814) 677-5760

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1750965216
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2021
Record last updated: 11 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.