Individual
AMY LOUISE DEFAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
500 W BERKELEY ST, UNIONTOWN, PA 15401-5514
(724) 430-5000
Mailing address
1121 N GALLATIN AVENUE EXT, UNIONTOWN, PA 15401-2111
(724) 320-8486
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
117346
WV
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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