Individual provider · Type 1 NPI
Amanda Wiese, CRNP
Adult Health Nurse Practitioner · Bala Cynwyd, PA
NPI number
1427410299
Active
Practice location
150 Monument Rd Ste 300
Bala Cynwyd, PA 19004-1725
Fax (610) 617-2481
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP026921 (PA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP026921 (PA) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1427410299
Amanda Wiese, CRNP's National Provider Identifier is 1427410299, issued on Mar 22, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bala Cynwyd, PA. The record was last updated on May 9, 2023.