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Individual

MRS. AMANDA LEA FARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CRNP

Contact information

Practice address
1001 CHESTERBROOK BLVD, BERWYN, PA 19312-3805
(610) 576-7700
Mailing address
165 DREXEL AVE, LANSDOWNE, PA 19050-1311
(610) 675-4007

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP028619
PA

Other

Enumeration date
11/09/2023
Last updated
11/09/2023
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