Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Thoburn

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225699127

Amanda Thoburn is a Student in an Organized Health Care Education/Training Program in Grafton, West Virginia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

2627 Paul E Malone Rd
Grafton, WV 26354-7141
Phone: (304) 771-7887
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1225699127
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2019
Last updated in NPPESApril 8, 2022
Certification dateApril 8, 2022
Mailing address2627 Paul E Malone Rd, Grafton, WV 26354-7141

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