Individual
AMANDA BERNADETTE REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 CHESTNUT ST FL 5, PHILADELPHIA, PA 19107-4206
(800) 321-9999
Mailing address
211 HURFFVILLE RD, SEWELL, NJ 08080-9416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN590249
PA
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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