Wiese, Amanda

Wiese, Amanda is an individual health care provider with primary practice located at 150 Monument Rd Ste 300 , Bala Cynwyd PA 19004-1725. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Wiese, Amanda can be contacted via phone (610) 747-3400.

Contact Information

Primary practice address
150 Monument Rd Ste 300 Bala Cynwyd PA 19004-1725
Phone: (610) 747-3400
Fax: (610) 617-2481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X SP026921 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP026921 Pennsylvania

Profile Details

NPI number 1427410299
LBN Legal business name Wiese, Amanda
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2016
Last updated May 9th, 2023 - about 2 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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