IndividualActive
Amanda Wiese, CRNP
NPI 1427410299 · Adult Health Nurse Practitioner · Bala Cynwyd, PA
Provider details
- NPI number
- 1427410299
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- SP026921 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
150 Monument Rd Ste 300
Bala Cynwyd, PA 19004-1725
Phone: (610) 747-3400
Fax: (610) 617-2481
Approximate (ZIP-level) locationGet directions
Mailing address
150 Monument Rd Ste 300
Bala Cynwyd, PA 19004-1725
Registry dates
- Enumerated
- 2016-03-22
- Last updated
- 2023-05-09
- Certified
- 2023-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.