Individual
AMY PATRICIA CAPIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 E LANCASTER AVE STE 114, WYNNEWOOD, PA 19096-3450
(484) 476-2580
Mailing address
910 PALMERS MILL RD, MEDIA, PA 19063-1030
(484) 832-6240
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP013737
PA
363LG0600X
Gerontology Nurse Practitioner
SP013737
PA
363LP2300X
Primary Care Nurse Practitioner
SP013737
PA
Other
Enumeration date
03/18/2014
Last updated
08/26/2022
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