Individual
AMANDA LYNN GILLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
278 EAGLEVIEW BLVD, EXTON, PA 19341-1157
(610) 561-6320
(610) 561-6301
Mailing address
278 EAGLEVIEW BLVD, EXTON, PA 19341-1157
(610) 561-6400
(484) 713-5255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP019385
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103575918-0004
—
PA
Enumeration date
10/15/2018
Last updated
06/14/2019
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