Individual
AMY M DEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
190 WELLES ST, FORTY FORT, PA 18704-4968
(570) 718-4140
Mailing address
30 RELIANCE DR, WILKES BARRE, PA 18702-1638
(570) 709-8038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN629005
PA
363LF0000X
Family Nurse Practitioner
Primary
SP025374
PA
Other
Enumeration date
11/30/2020
Last updated
07/07/2023
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