Individual
AMANDA HETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(800) 826-6737
(856) 968-8279
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR20759000
NJ
163W00000X
Registered Nurse
RN543986
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01452800
NJ
363LA2100X
Acute Care Nurse Practitioner
SP026763
PA
Other
Enumeration date
11/20/2020
Last updated
08/21/2023
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