Individual provider · Type 1 NPI
Amanda Madeira
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1730739939
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
1025 Emily St
Philadelphia, PA 19148-2322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP020229 (PA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP020652 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1730739939
Amanda Madeira's National Provider Identifier is 1730739939, issued on Sep 19, 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 Sep 19, 2019.