Provider Demographics
NPI:1336709195
Name:HALL, AMY JO (CNM)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:JO
Last Name:HALL
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:JO
Other - Last Name:DANILOWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-7260
Mailing Address - Fax:717-292-2879
Practice Address - Street 1:3992 CARLISLE RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17315-3506
Practice Address - Country:US
Practice Address - Phone:717-851-7260
Practice Address - Fax:717-292-2879
Is Sole Proprietor?:No
Enumeration Date:2019-06-14
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD5387027367A00000X
PAMW010536367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife