Individual
AMANDA CAROL WERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2106 HARRISBURG PIKE, SUITE 1, LANCASTER, PA 17601-2644
(717) 291-5931
(717) 735-7119
Mailing address
2106 HARRISBURG PIKE, SUITE 1, LANCASTER, PA 17601-2644
(717) 291-5931
(717) 735-7119
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP012891
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102844403
—
PA
01
—
50117314
CAPITAL BLUE CROSS
PA
Enumeration date
05/31/2013
Last updated
07/08/2020
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