Diane Dritt Amin, PA-C
Individual provider Active NPI Physician Assistant · Phoenix, MD
NPI 1063561298 · NPPES record last updated Oct 20, 2011
Key facts
- NPI
- 1063561298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- C0001033 (MD)
- Practice address
- 2427 Stanwick Rd
Phoenix, MD 21131-1544 - Phone
- (410) 683-1719
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0001033 | MD | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0001033 | MD | Yes |
Addresses
Primary practice location
2427 Stanwick Rd
Phoenix, MD 21131-1544
Mailing address
2427 Stanwick Rd
Phoenix, MD 21131-1544
Phone (410) 683-1719
Other providers in Phoenix, MD
- Acupuncture at Work LLC
- Ashley Ruocco Therapy, LLC
- Jennifer Christina Ashley
- Assisting You in Your Home LLC
- Cynthia Dewaters Balog
- Norman W Barton
All providers in Phoenix, MD · Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.