Individual
AMANDA MUMMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CHILDREN'S HOSPITAL OF PHILADELPHIA, 550 SOUTH GODDARD BLVD, KING OF PRUSSIA, PA 19406
(646) 812-3870
Mailing address
4701 PINE ST APT F11, PHILADELPHIA, PA 19143-7009
(646) 812-3870
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
172417
CT
363LP0200X
Pediatric Nurse Practitioner
Primary
SP026192
PA
Other
Enumeration date
07/03/2022
Last updated
10/26/2022
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