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NPI Code Detail

MEDICARE: AMY M DEWEY CRNP

MEDICARE: AMY M DEWEY CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP025374PA
2163W00000XRegistered NurseRN629005PA

General Provider Information

NPI Number : 1932703022
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY M DEWEY CRNP
Provider Business Mailing Address
First Line : 480 LEWIS DR
Second Line :
City : BEAR CREEK
State : PA
Zip : 18602-7019
Country : US
Telephone Number : 570-709-8038
Fax Number :
Provider Business Practice Location Address
First Line : 1088 HIGHWAY 315 BLVD STE 2
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-7012
Country : US
Telephone Number : 570-709-8038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2020
Last Update Date : 06/23/2026

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