Provider Demographics
NPI:1922768027
Name:AMARANT, JUNE (MSN, MED, RNC)
Entity Type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:
Last Name:AMARANT
Suffix:
Gender:F
Credentials:MSN, MED, RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 ALYSSA CIR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-3305
Mailing Address - Country:US
Mailing Address - Phone:610-329-9642
Mailing Address - Fax:
Practice Address - Street 1:4677 WEST CHESTER PIKE
Practice Address - Street 2:SUITE A
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073
Practice Address - Country:US
Practice Address - Phone:610-949-2910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN285102L163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn