AMY ELIZABETH VANDERWALL CRNP NPI 1659836914

NPI Information

  • NPI: 1659836914
  • Provider Name: AMY ELIZABETH VANDERWALL, CRNP
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 33 W 3RD ST STE 201
    WILLIAMSPORT, PA
    ZIP 17701
  • Phone: (570) 429-3501

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NPI Details

Amy Elizabeth Vanderwall, CRNP is a primary care nurse practitioner in Williamsport, PA with 7 years of experience. Amy Elizabeth Vanderwall, CRNP NPI is 1659836914. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

33 W 3RD ST STE 201
WILLIAMSPORT, PA
ZIP 17701-523
Phone: (570) 429-3501
Fax: (570) 429-3502

The NPI 1659836914 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/31/2019 and was last updated on 4/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN630439PENNSYLVANIANo
2363L00000XNurse PractitionerSP020400PENNSYLVANIANo
3363LP2300XNurse PractitionerPrimary CareSP020400PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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