Individual
AMANDA CHRISTINE TIRKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2626 LIGONIER ST, LATROBE, PA 15650-3246
(724) 532-4283
Mailing address
PO BOX 403, HOOVERSVILLE, PA 15936-0403
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN667058
PA
363LF0000X
Family Nurse Practitioner
Primary
SP019048
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP019048
PA LICENSE
PA
Enumeration date
04/17/2018
Last updated
05/12/2021
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