Individual
MRS. AMANDA LOUISE MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
230 E KNIGHT AVE, COLLINGSWOOD, NJ 08108-1417
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP018014
PA
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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