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Mrs. Amanda Sue Carlson, CRNP
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1215403258

Amanda Sue Carlson is a Family Nurse Practitioner based in Media, PA and is specialized in Family. Amanda Sue Carlson practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Amanda Sue Carlson is 1215403258 and holds a License No. SP018141 (Pennsylvania).

The current practice location address for Amanda Sue Carlson is 2130 S 21St St, Philadelphia, PA and can be reached out via phone at 215-925-3566.

Location: 2130 S 21St St, Philadelphia, PA, 19063-5261
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215403258
Provider Name
Amanda Sue Carlson
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
2130 S 21St St, Philadelphia, PA, 19063-5261
Phone Number
215-925-3566
Fax Number
Provider Enumeration Date
10/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2130 S 21St St
City
Philadelphia
State
Pennsylvania
Zip
19145-3401
Phone Number
215-925-3566
Fax Number
person
Provider Business Mailing Address Details
Address
2130 S 21St St
City
Philadelphia
State
Pennsylvania
Zip
19145-3401
Phone Number
215-925-3566
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP018141 (Pennsylvania)
Definition
Definition to come...
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