Healthcare Provider Details

I. General information

NPI: 1538055157
Provider Name (Legal Business Name): AMANDA LIVINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2568 LITITZ PIKE
LANCASTER PA
17601-3722
US

IV. Provider business mailing address

2427 SPRING WATER CIR
LANCASTER PA
17601-2235
US

V. Phone/Fax

Practice location:
  • Phone: 717-288-8118
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberSP033231
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN732828
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: