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Contact Information

BOLANLE T AMON, FCNP
725 WICKER AVE
SUITE 202
BENSALEM, PA19020-7251
 Phone: 215-639-4646
 Fax: 215-639-2323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for BOLANLE T AMON · (Female)

NPI # 1972948966
Status Active
Credentials FCNP
Entity Individual
Enumeration date 05/03/2013
Last updated 05/03/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 26NR11110200
  • PA License # 568664
  • PA License # SP012757
  • PA Other SP012757 PA CERTIFIED REGISTERED NURSE PRACTIONER (FAMILY HEALTH)
  • PA Other 017673 PRESCRIPTIVE AUTHORITY (BUREAU OF PROFESSIONAL & OCCUPATIONAL AFFAIRS)
  • PA Other 568664 REGISTERED NURSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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