Search › Pennsylvania › 363LP2300X
Amy Vanderwall, CRNP
NPI 1659836914 · on the registry since 2019 · sole proprietor
Practice
- Address
- 33 W 3rd St Ste 201
Williamsport, PA 17701 - Phone
- (570) 429-3501
- Fax
- (570) 429-3502
- Organisation at this address
- Lycorx Llc
Lcdocs LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Also registered as
- 163W00000X
363L00000X - Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania