Provider Demographics
NPI:1366455180
Name:WARD, AMY E (CRNP)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:E
Last Name:WARD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:E
Other - Last Name:WILCOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 411
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-342-2270
Mailing Address - Fax:856-365-1180
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 411
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-342-2270
Practice Address - Fax:856-365-1180
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008489363L00000X
NJNJ00183000363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner