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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA PETRUSKEVICIUS, CRNP

Active Sole Proprietor

AMANDA PETRUSKEVICIUS, CRNP is a Primary Care Nurse Practitioner healthcare provider located in VILLANOVA, Pennsylvania. NPI 1568039360 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · VILLANOVA, PA

Registration Details

NPI Number
1568039360
Provider Type
Individual
Gender
Female
NPI Issued
Jun 9, 2021 (5.1899791845199 yrs)
Last Updated
Jun 9, 2021
License
SP023747 (PA)
Sole Proprietor
Yes

Practice Information

Address
800 E LANCASTER AVE
VILLANOVA, PA, 190851603
Browse PA providers · Browse ZIP 19085
Phone
6105194500
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in VILLANOVA, PA

Name Credential NPI
OLIVIA DAVIS 1992655286
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.