Individual
MRS. AMY LYTER STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
35 HOPE DR, SUITE 202-204, HERSHEY, PA 17033-2086
(717) 531-3503
(717) 531-4375
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-3503
(717) 531-4375
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
TP005859V
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1399970
HIGHMARK BLUE SHIELD
PA
01
—
50026640
CAPITAL BLUE CROSS
PA
Enumeration date
02/07/2006
Last updated
06/13/2016
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