Provider Demographics
NPI:1659018679
Name:VANLALTHLAMUANI, AMY (CRNP-FNP-C)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:VANLALTHLAMUANI
Suffix:
Gender:F
Credentials:CRNP-FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-1449
Mailing Address - Country:US
Mailing Address - Phone:412-889-1729
Mailing Address - Fax:
Practice Address - Street 1:314 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-1449
Practice Address - Country:US
Practice Address - Phone:412-889-1729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025571363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily