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Amanda Marie Conroy

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1650 Crooked Oak Dr Ste 200, Lancaster, PA 17601-4278

PECOS Enrollment

This provider is enrolled in PECOS as AMANDA CONROY.

Based on the most recent information from CMS, provider Amanda Marie Conroy is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1740791763
Provider Type
Individual
Full Name
Conroy, Amanda Marie
Credential
CRNP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/17/2017
Last Updated
9/15/2022

Contact Information

Practice Location

1650 Crooked Oak Dr Ste 200, Lancaster, PA 17601-4278

(717) 569-3279

(717) 569-2187

Mailing Location

1650 Crooked Oak Dr Ste 200, Lancaster, PA 17601-4278

(717) 569-3279

(717) 569-2187

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP017736 Pennsylvania
Code 207N00000X	Description Dermatology Allopathic & Osteopathic Physicians	License SP017736 Pennsylvania

Amanda Marie Conroy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Gola, Lori K

Dithridge, Rebecca Anne

Miller, Dianna

Thomas, Kimbra D

Fried, Heather M

Barber, Jaclyn Marie

Zedaker, Cindy L

Saing, Sothea Peter

Perch, Caitlin B

Stoppard, Joshua Robert