Individual provider · Type 1 NPI

Amanda Sue Carlson, CRNP

Family Nurse Practitioner · Philadelphia, PA

NPI number 1215403258 Active

Practice location

2130 S 21st St
Philadelphia, PA 19145-3401

Call (215) 925-3566 Map

Mailing address

16 Secretariat Cir
Media, PA 19063-5261

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP018141 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1215403258

Amanda Sue Carlson, CRNP's National Provider Identifier is 1215403258, issued on Oct 17, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 17, 2018.