Individual provider · Type 1 NPI
Amanda Louise Middleton, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1336650845
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
230 E Knight Ave
Collingswood, NJ 08108-1417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP018014 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1336650845
Amanda Louise Middleton, CRNP's National Provider Identifier is 1336650845, issued on Oct 24, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 24, 2017.