Provider Demographics
NPI:1588948418
Name:HOWARD, AMANDA KAYE (PA-C)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:KAYE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:448 SE OSCEOLA ST
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2577
Mailing Address - Country:US
Mailing Address - Phone:772-276-7242
Mailing Address - Fax:772-237-3109
Practice Address - Street 1:448 SE OSCEOLA ST
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2577
Practice Address - Country:US
Practice Address - Phone:772-276-7242
Practice Address - Fax:772-237-3109
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA1691363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant