Individual
AMY CAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4870
(215) 955-6000
Mailing address
2028 DEVEREAUX AVE, PHILADELPHIA, PA 19149-3524
(646) 541-5068
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN755958
PA
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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