Individual
AMY DEPALMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8 BROOKHILL SQ S, SUGARLOAF, PA 18249-1010
(570) 459-0029
(570) 454-5757
Mailing address
1580 LAKEWOOD RD STE 16, TOMS RIVER, NJ 08755-3287
(732) 456-7777
(848) 251-2189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP014542
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103270067
—
PA
01
—
1224670
GATEWAY HEALTH
PA
01
—
30281247
AMERIHEALTH CARITAS
PA
01
—
5530809
AETNA
PA
01
—
773922
MEDICARE PTAN
PA
Enumeration date
01/20/2015
Last updated
07/08/2020
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