Individual provider · Type 1 NPI
Amy Elizabeth Brundage, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1659923142
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
800 Saginaw Ave
Haddon Township, NJ 08108-2430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP020497 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1659923142
Amy Elizabeth Brundage, CRNP's National Provider Identifier is 1659923142, issued on Jul 15, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 15, 2019.