Individual
AMANDA MARIE KUBILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
743 JEFFERSON AVE STE 203, SCRANTON, PA 18510-1638
(570) 344-9997
(570) 344-3158
Mailing address
610 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 288-5441
(570) 288-5842
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP017826
PA
363LF0000X
Family Nurse Practitioner
Primary
SP017826
PA
Other
Enumeration date
09/20/2017
Last updated
06/16/2020
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