Individual
AMANDA HIGGINS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, 2 DULLES, PHILADELPHIA, PA 19104-4206
(215) 662-7320
Mailing address
3400 SPRUCE ST, 2 DULLES, PHILADELPHIA, PA 19104-4206
(215) 662-7320
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP006772Q
PA
Other
Enumeration date
06/05/2007
Last updated
04/04/2014
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