Provider Demographics
NPI:1760647887
Name:DILLON, AMY L (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:L
Last Name:DILLON
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:530 SOUTH ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2775
Mailing Address - Country:US
Mailing Address - Phone:724-832-7045
Mailing Address - Fax:724-832-9165
Practice Address - Street 1:530 SOUTH ST
Practice Address - Street 2:SUITE 220
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2775
Practice Address - Country:US
Practice Address - Phone:724-832-7045
Practice Address - Fax:724-832-9165
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009872363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics