Provider Demographics
NPI:1578996815
Name:HANDWERK, AMBER CHARLENE (CRNP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:CHARLENE
Last Name:HANDWERK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 N GREENVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SCHUYLKILL HAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:17972-9793
Mailing Address - Country:US
Mailing Address - Phone:570-527-8893
Mailing Address - Fax:
Practice Address - Street 1:SIXTH AVE & SPRUCE STREET
Practice Address - Street 2:
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19612
Practice Address - Country:US
Practice Address - Phone:484-628-8824
Practice Address - Fax:484-628-8820
Is Sole Proprietor?:No
Enumeration Date:2013-08-09
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013040363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health