Healthcare Provider Details

I. General information

NPI: 1730823311
Provider Name (Legal Business Name): AMANDA PINTER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2022
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

449 N HERMITAGE RD
HERMITAGE PA
16148-3342
US

IV. Provider business mailing address

449 N HERMITAGE RD
HERMITAGE PA
16148-3342
US

V. Phone/Fax

Practice location:
  • Phone: 724-347-4622
  • Fax:
Mailing address:
  • Phone: 724-347-4622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0041580
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberSP025631
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: