Derosa, Amanda Jeanette

Derosa, Amanda Jeanette is an individual health care provider with primary practice located at 915 Benner Pike , State College PA 16801-7395. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Derosa, Amanda Jeanette can be contacted via phone (814) 867-7030.

Contact Information

Primary practice address
915 Benner Pike State College PA 16801-7395
Phone: (814) 867-7030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA055829 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA055829 Pennsylvania

Profile Details

NPI number 1588909659
LBN Legal business name Derosa, Amanda Jeanette
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2012
Last updated Jul 10th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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