Amber Nelson, CRNP | |
3328 Morrell Ave, Philadelphia, PA 19114-1222 | |
(215) 632-1030 | |
Not Available |
Full Name | Amber Nelson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3328 Morrell Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467859249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | SP014528 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP014528 (Pennsylvania) | Primary |
Entity Name | Suburban Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710355029 PECOS PAC ID: 6204145642 Enrollment ID: O20151026000795 |
Entity Name | Meditelecare Of Pennsylvania Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396351847 PECOS PAC ID: 8527488030 Enrollment ID: O20201022002321 |
Mailing Address | Practice Location Address |
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Amber Nelson, CRNP 1950 Butler Pike Unit 170, Conshohocken, PA 19428-1202 Ph: (484) 381-0158 | Amber Nelson, CRNP 3328 Morrell Ave, Philadelphia, PA 19114-1222 Ph: (215) 632-1030 |
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