Destani Amos
Licensed Practical Nurse in Lancaster, PA. Individual provider (NPI-1).
NPI number1265315758
StatusActive
Last updated in NPPESJul 30, 2025
Details
- NPI
- 1265315758
- Entity type
- Individual (NPI-1)
- Name
- Destani Amos
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2025
- Certification date
- Jul 30, 2025
- Last updated
- Jul 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN318655 | PA | Yes |
Practice location
2141 Oregon PikeLancaster, PA 17602-4604
Phone 717-617-2708
Mailing address
94 Short St Edwardsville, PA 18704Edwardsville, PA 18704
Phone 272-268-5217
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