Amanda Higgins Martin CRNP

NPI 1104028729 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1104028729
Gender Female
Enumeration Date 06/05/2007
Last Updated 04/04/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
3400 SPRUCE ST
2 DULLES
PHILADELPHIA PA, 19104-4206, US
Phone (215) 662-7320
Fax
Business Location
3400 SPRUCE ST
2 DULLES
PHILADELPHIA PA, 19104-4206, US
Phone (215) 662-7320
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Pennsylvania
License Number UP006772Q
Remove 1104028729 NPI Number
 

According to our database, Amanda Higgins Martin CRNP NPI is 1104028729, taxonomy code is 363L00000X and license number is UP006772Q, license state is located at Pennsylvania. Amanda Higgins Martin CRNP physically located at 3400 Spruce St, Philadelphia PA, 19104-4206. NPI Number Amanda Higgins Martin CRNP has the Individual type.

Sponsored links

1104028729 NPI number is provided on an as is basis without warranty of any kind. 1104028729 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Higgins Martin CRNP are for informational purposes only.