Individual
AMANDA PETERS-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
335 S FRANKLIN ST, WILKES BARRE, PA 18702-3808
(570) 301-0924
(570) 505-6224
Mailing address
53 W LUZERNE AVE, LARKSVILLE, PA 18704-1003
(570) 704-6924
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN295243
PA
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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