Active NPIIndividual provider

Amanda I Diffin, PA-C

Physician Assistant in Leominster, Massachusetts

NPI Number1710547385
Practice location
100 Hospital RD Ste 4, Leominster, MA 01453-2253
Fax
—
Last updated
June 27, 2024

Amanda Irene Diffin is a Physician Assistant based in Leominster, MA. Amanda Irene Diffin practices in Leominster, MA and has the professional credentials of PA-C. The NPI Number for Amanda Irene Diffin is 1710547385 and holds a License No. PA7139 (MA). The current practice location address for Amanda Irene Diffin is 100 Hospital RD Ste 4, Leominster, MA 01453-2253 and can be reached out via phone at 978-514-6300.

Provider Profile Details

NPI Number
1710547385
Provider Name
Amanda Irene Diffin
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
100 Hospital RD Ste 4, Leominster, MA 01453-2253
Phone Number
978-514-6300
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 17, 2019
Last Update Date
June 27, 2024
Certification Date
February 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Hospital RD Ste 4
Leominster, MA 01453-2253
Zip
01453-2253
Phone Number
978-514-6300
Leominster, MA 01453Get directions →

Provider Business Mailing Address Details

Address
87 N Main St
Leominster, MA 01453-5507
City
Leominster
State
MA
Zip
01453-5507
Phone Number
978-534-8701

License Information

License Number (1)
PA7139
License State (1)
MA
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
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 I Diffin, PA-C?

The NPI number of Amanda I Diffin, PA-C is 1710547385. It was assigned on June 17, 2019 and is currently active in the NPPES registry.

What is the specialty of Amanda I Diffin, PA-C?

Amanda I Diffin, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA7139.

Where does Amanda I Diffin, PA-C practice?

The practice location is 100 Hospital RD Ste 4, Leominster, MA 01453-2253. The office can be reached at 978-514-6300 (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 1710547385 directly on the NPPES registry website.

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