person
Amy L Licata, CRNP
Adult Health Nurse Practitioner in West Reading, Pennsylvania
NPI 1255393054

Amy L Licata is an Adult Health Nurse Practitioner based in Reading, PA and is specialized in Adult Health. Amy L Licata practices in West Reading, PA and has the professional credentials of CRNP. The NPI Number for Amy L Licata is 1255393054 and holds a License No. SP-007431 (Pennsylvania).

The current practice location address for Amy L Licata is 301 S 7Th Ave, West Reading, PA and can be reached out via phone at 610-375-6565 and via fax at 610-375-2065.

Location: 301 S 7Th Ave, West Reading, PA, 19612-3579
person
Provider Profile Details
NPI Number
1255393054
Provider Name
Amy L Licata
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
301 S 7Th Ave, West Reading, PA, 19612-3579
Phone Number
610-375-6565
Fax Number
610-375-2065
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103102437 05 PA
institution
Provider Business Practice Location Address Details
Address
301 S 7Th Ave
City
State
Zip
19611-1410
Phone Number
610-375-6565
Fax Number
610-375-2065
person
Provider Business Mailing Address Details
Address
301 S 7Th Ave
City
State
Zip
19611-1410
Phone Number
610-375-6565
Fax Number
610-375-2065
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
SP-007431 (Pennsylvania)
Definition
Definition to come...
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