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Individual

AMANDA F COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CRNP

Contact information

Practice address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2007
(215) 335-6000
Mailing address
16 ALMOND CT, LAFAYETTE HILL, PA 19444-2500
(856) 952-8199

Taxonomy

Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
SP011726
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP011726
LICENSE
PA
Enumeration date
06/27/2012
Last updated
06/27/2012
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