Provider Demographics
NPI:1841622610
Name:DENAPLES, AMANDA MARIA (NP-C)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:MARIA
Last Name:DENAPLES
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 SHELBY CIR
Mailing Address - Street 2:
Mailing Address - City:OLD FORGE
Mailing Address - State:PA
Mailing Address - Zip Code:18518-1049
Mailing Address - Country:US
Mailing Address - Phone:570-498-7234
Mailing Address - Fax:
Practice Address - Street 1:1550 MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:DICKSON CTY
Practice Address - State:PA
Practice Address - Zip Code:18447-1345
Practice Address - Country:US
Practice Address - Phone:570-498-7234
Practice Address - Fax:570-550-0869
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013016363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily