Provider Demographics
NPI:1508259029
Name:OECHLER, AMANDA (RN, BSN)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:OECHLER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7048 STATE ROUTE 87
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-8730
Mailing Address - Country:US
Mailing Address - Phone:570-506-2893
Mailing Address - Fax:
Practice Address - Street 1:1419 N 3RD ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17102-1909
Practice Address - Country:US
Practice Address - Phone:717-233-3662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN615427163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse