Provider Demographics
NPI:1831347640
Name:CALLAHAN, AMY P (CRNP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:P
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:1233 LOCUST ST
Mailing Address - Street 2:304
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5453
Mailing Address - Country:US
Mailing Address - Phone:267-319-1530
Mailing Address - Fax:267-319-1531
Practice Address - Street 1:1233 LOCUST ST
Practice Address - Street 2:304
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5453
Practice Address - Country:US
Practice Address - Phone:267-319-1530
Practice Address - Fax:267-319-1531
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP008119363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health