Amadio, Irene Watts

Amadio, Irene Watts is an individual health care provider with primary practice located at 2301 S Broad St 1St Floor, Philadelphia PA 19148-3542. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Amadio, Irene Watts can be contacted via phone (215) 952-9323.

Contact Information

Primary practice address
2301 S Broad St 1St Floor Philadelphia PA 19148-3542
Phone: (215) 952-9323
Fax: (215) 952-1246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN326771L Pennsylvania

Profile Details

NPI number 1255338729
LBN Legal business name Amadio, Irene Watts
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Mar 5th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255338729 NPPES
Pennsylvania MEDICAID 0017254230001

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