Amanda Rae Hofmann, PA-C – Physician Assistant

Key facts

NPI: 1447548441
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: MA054784 (PA)
Practice address: 453 Valley Brook Rd
Canonsburg, PA 15317-3371
Phone: (724) 544-0916
NPI assigned: Jul 12, 2011
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Advanced Allergy & Asthma LLC Allergy & Immunology Physician · Beaver, PA · NPI 1215340708

NPD (past)

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
MA054784	PA	MD	Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Advanced Allergy & Asthma LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	MA054784	PA	Yes
Medical Physician Assistant	363AM0700X	MA054784	PA

Addresses

Primary practice location

453 Valley Brook Rd
Canonsburg, PA 15317-3371

Mailing address

453 Valley Brook Rd
Canonsburg, PA 15317-3371
Phone (724) 544-0916

Other names

Amanda Rae Candelmo Former name

Other providers in Canonsburg, PA

All providers in Canonsburg, PA · Physician Assistant in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.

Verify at the official NPI Registry.