Individual
IRENE WATTS AMADIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
2301 S BROAD ST, 1ST FLOOR, PHILADELPHIA, PA 19148-3542
(215) 952-9323
(215) 952-1246
Mailing address
2301 S BROAD ST, 1ST FLOOR, PHILADELPHIA, PA 19148-3542
(215) 952-9323
(215) 952-1246
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN326771L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017254230001
—
PA
Enumeration date
06/30/2005
Last updated
03/05/2015
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