Organization
CHILDREN'S INTEGRATED CENTER FOR SUCCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. AMY EDGAR APRN,CRNP, FNP-C (FOUNDER)
(610) 770-1800
Entity
Organization
Contact information
Practice address
1247 S CEDAR CREST BLVD, SUITE 100, ALLENTOWN, PA 18103-6298
(610) 770-1800
Mailing address
1247 S CEDAR CREST BLVD, SUITE 100, ALLENTOWN, PA 18103-6298
(610) 770-1800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP013766
PA
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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