Healthcare Provider Details

I. General information

NPI: 1710943063
Provider Name (Legal Business Name): AMY E HULL CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY E VALENTINO RN

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 12/17/2019
Certification Date: 12/17/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 GLASGOW ST
POTTSTOWN PA
19464-6557
US

IV. Provider business mailing address

1601 MEDICAL DR
POTTSTOWN PA
19464-3241
US

V. Phone/Fax

Practice location:
  • Phone: 484-945-0770
  • Fax: 484-945-0648
Mailing address:
  • Phone: 610-327-4200
  • Fax: 610-327-8160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP008855
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: