Healthcare Provider Details

I. General information

NPI: 1457238974
Provider Name (Legal Business Name): AMANDA LOIUDICE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 23RD STREET EXT STE 164
SHARPSBURG PA
15215-2821
US

IV. Provider business mailing address

411 ASHTON DR
CHESWICK PA
15024-9727
US

V. Phone/Fax

Practice location:
  • Phone: 724-545-1600
  • Fax:
Mailing address:
  • Phone: 412-656-9623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN583869
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: