Physician Assistant
AMY LARGE
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1659974517 · enumerated 2020-11-20 · record updated 2021-11-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 815 LISADELL DR, KENNETT SQUARE, PA, 19348-1303 (610) 742-8094 Google Maps Apple Maps OpenStreetMap
- Practice location 4755 OGLETOWN STANTON RD, NEWARK, DE, 19718-1303 (302) 733-1000 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License MA062717 PA
- Physician Assistant 363A00000X · Primary · License C5-0011588 DE
Locations and evidence
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Practice location
NEWARK, DE, 197181303
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.