NPI 1063015469

Michelle Amendolia

Practitioner Nurse Practitioner Galloway, NJ

Practice location

Address: 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438
Phone: (609) 652-1000
Mailing address: 235 Churchill Dr, Egg Hbr Twp, NJ 08234-8003

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 26NJ01064900 (NJ)

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Registry record

NPI: 1063015469
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Nov 2020
Record last updated: 18 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.