AMANDA CONROY NAUMANN


Address: 1740 South St, Suite 200, Philadelphia, PA 19146-1514
Phone: 2157355600

AMANDA CONROY NAUMANN (NPI# 1043372881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043372881
Entity Type Individual
Full Name AMANDA CONROY NAUMANN
Credential CRNP
Practice Address 1740 South St
Suite 200
Philadelphia
PA 19146-1514
Practice Telephone 2157355600
Mailing Telephone 2157355600
Enumeration Date 2006-12-15
Last Update Date 2017-02-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
20163629 PA Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 1740 SOUTH ST
SUITE 200
City PHILADELPHIA
State PA
Zip Code 19146-1514

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NPI Name Taxonomy Address Enumeration
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1720328800 Sharon M Greis Speech-Language Pathologist 1740 South St, Suite 301, Philadelphia, PA 19146-1514 2013-02-26
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1033630116 Jami F Young Psychologist 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 2017-06-29
1336678788 Joshua Ryan Fidler Occupational Therapist 2223 Wharton Street, Philadelphia, PA 19146 2017-06-08
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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Competitor

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City PHILADELPHIA
Zip Code 19146

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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