Individual
AMY KNICKERBOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 REED AVE STE 402, WYOMISSING, PA 19610-2030
(484) 628-4270
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-1324
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
343598
NY
363LP2300X
Primary Care Nurse Practitioner
SP028977
PA
Other
Enumeration date
09/17/2018
Last updated
09/05/2025
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