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NPI 1821935511 · live from the CMS NPI Registry

Amy Cao

Registered Nurse, General Practice in Philadelphia, PA. National Provider Identifier 1821935511, active.

NPI record

NPI1821935511 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, General Practice 163WG0000X
Practice location111 S 11th St, Philadelphia, PA 19107
Practice phone215-955-6000
Mailing address2028 Devereaux Ave, Philadelphia, PA 19149
EnumeratedApril 30, 2026
Last updatedApril 30, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, General Practice primary163WG0000XRN755958 (PA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.