Mcnicholas, Amanda

Mcnicholas, Amanda is an individual health care provider with primary practice located at 420 S 5Th Ave , Reading PA 19611-2143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mcnicholas, Amanda can be contacted via phone (484) 628-4879.

Contact Information

Primary practice address
420 S 5Th Ave Reading PA 19611-2143
Phone: (484) 628-4879
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP008236 Pennsylvania

Profile Details

NPI number 1104993443
LBN Legal business name Mcnicholas, Amanda
Credentials C.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Apr 12th, 2018 - about 8 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 1104993443 NPPES
Pennsylvania MEDICAID 101428038

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