AMANDA SUE CARLSON

PHILADELPHIA, PA
NPI1215403258
Former NameAMANDA SUE MATHIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP018141)
Enumeration Date2018-10-17
Last Update Date2018-10-17
Business Address
Mrs. AMANDA SUE CARLSON CRNP
2130 S 21ST ST
PHILADELPHIA, PA 19145-3401
Phone number: 215-925-3566
Mailing Address
Mrs. AMANDA SUE CARLSON CRNP
16 SECRETARIAT CIR
MEDIA, PA 19063-5261
Phone number: 616-780-7354
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