Individual
MRS. AMANDA SUE MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
1627 CHEW ST FL 1, ALLENTOWN, PA 18102-3648
(610) 402-1600
Mailing address
700 COVENTRY DR, PHILLIPSBURG, NJ 08865-1972
(908) 454-4666
(908) 454-2332
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
SP012936
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0495492
—
NJ
Enumeration date
01/13/2015
Last updated
07/18/2025
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