Individual
AMY MARIE LODISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD FL 3, PHILADELPHIA, PA 19104-5127
(215) 662-3318
(215) 349-5680
Mailing address
3400 CIVIC CENTER BLVD FL 3, PHILADELPHIA, PA 19104-5127
(215) 662-3318
(215) 349-5680
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP020145
PA
Other
Enumeration date
06/06/2019
Last updated
06/25/2019
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