Healthcare Provider Details

I. General information

NPI: 1235527102
Provider Name (Legal Business Name): AMANDA B RICHTER APRN, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA B FISHER

II. Dates (important events)

Enumeration Date: 12/31/2014
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON RD
NEWARK DE
19718-4364
US

IV. Provider business mailing address

6A COPPLES LN
WALLINGFORD PA
19086-6430
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-6107
  • Fax:
Mailing address:
  • Phone: 302-381-9738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberLV-0000116
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0010424
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: