Amanda K Faxon, PA-C
Physician Assistant in New Haven, Connecticut
1326751454- Practice location
- 100 Church St S Ste A250, New Haven, CT 06519-1703
- Phone
- 203-785-2860
- Fax
- —
- Last updated
- January 4, 2023
Amanda Kathryn Faxon is a Physician Assistant based in New Haven, CT. Amanda Kathryn Faxon practices in New Haven, CT and has the professional credentials of PA-C. The NPI Number for Amanda Kathryn Faxon is 1326751454. The current practice location address for Amanda Kathryn Faxon is 100 Church St S Ste A250, New Haven, CT 06519-1703 and can be reached out via phone at 203-785-2860.
Provider Profile Details
- NPI Number
- 1326751454
- Provider Name
- Amanda Kathryn Faxon
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Church St S Ste A250, New Haven, CT 06519-1703
- Phone Number
- 203-785-2860
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 4, 2023
- Last Update Date
- January 4, 2023
- Certification Date
- January 4, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Church St S Ste A250
New Haven, CT 06519-1703 - City
- New Haven
- State
- Connecticut
- Zip
- 06519-1703
- Phone Number
- 203-785-2860
Provider Business Mailing Address Details
- Address
- Po Box 208083
New Haven, CT 06520-8083 - City
- New Haven
- State
- CT
- Zip
- 06520-8083
License Information
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Amanda K Faxon, PA-C?
The NPI number of Amanda K Faxon, PA-C is 1326751454. It was assigned on January 4, 2023 and is currently active in the NPPES registry.
What is the specialty of Amanda K Faxon, PA-C?
Amanda K Faxon, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).
Where does Amanda K Faxon, PA-C practice?
The practice location is 100 Church St S Ste A250, New Haven, CT 06519-1703. The office can be reached at 203-785-2860 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326751454 directly on the NPPES registry website.