Provider Demographics
NPI:1487377081
Name:MORRISSETTE, AMANDA (MPAS, PA-C)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:MORRISSETTE
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Gender:F
Credentials:MPAS, PA-C
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Mailing Address - Street 1:2217 PARK BEND DR STE 300
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-5674
Mailing Address - Country:US
Mailing Address - Phone:512-382-1993
Mailing Address - Fax:844-880-6124
Practice Address - Street 1:2217 PARK BEND DR STE 300
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5674
Practice Address - Country:US
Practice Address - Phone:512-382-1993
Practice Address - Fax:844-880-6124
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-20
Last Update Date:2023-02-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant