Individual
AMANDA LACE IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6514 SULGAR RD, REYNOLDSVILLE, PA 15851-2830
(814) 591-5046
Mailing address
6514 SULGAR RD, REYNOLDSVILLE, PA 15851-2830
(814) 591-5046
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP028212
PA
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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