Provider Demographics
NPI:1922569367
Name:AMANZE, FRANK O (CRNP)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:O
Last Name:AMANZE
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 MEDICAL CENTER BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-3957
Mailing Address - Country:US
Mailing Address - Phone:610-872-8501
Mailing Address - Fax:
Practice Address - Street 1:30 MEDICAL CENTER BLVD STE 302
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-3957
Practice Address - Country:US
Practice Address - Phone:610-872-8501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-28
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP019781363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty