Individual
AMANDA SULLIVAN TRONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4865 MARKET ST, PHILADELPHIA, PA 19139-2912
(267) 425-9841
Mailing address
4865 MARKET ST, PHILADELPHIA, PA 19139-3508
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP012810
PA
Other
Enumeration date
12/03/2013
Last updated
12/20/2022
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