Amanda Jo Solven, PA-C
Individual provider Active NPI Physician Assistant · Andersen Afb, GU
NPI 1073083002 · NPPES record last updated Aug 14, 2024
Key facts
- NPI
- 1073083002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 36TH Medical Group
Unit 14010 BLDG. 26012
Andersen Afb, GU 96543-4003 - Phone
- (671) 366-9355
- NPI assigned
- Dec 3, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | ||
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
36TH Medical Group
Unit 14010 BLDG. 26012
Andersen Afb, GU 96543-4003
Mailing address
57950 Leavenworth St
McConnell Afb, KS 67221-3505
Phone (316) 759-3600
Other providers in Andersen Afb, GU
- John Garcia
- Benjamin Huyck
- Imee Sarmiento Kiser
- Scott Christopher Martin
- Thaddeus Dwayne Mitcham
- Derrick D'Artagnon Stahl
All providers in Andersen Afb, GU · Physician Assistant in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2024. 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.