Individual
MRS. AMANDA DENIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
833 CHESTNUT ST, SUITE 701, PHILADELPHIA, PA 19107-4414
(215) 955-6180
Mailing address
833 CHESTNUT ST, SUITE 701, PHILADELPHIA, PA 19107-4414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN669561
PA
363L00000X
Nurse Practitioner
148711
WI
363L00000X
Nurse Practitioner
4073
WI
363L00000X
Nurse Practitioner
Primary
SP015066
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103060918
—
PA
Enumeration date
08/28/2009
Last updated
04/04/2016
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