Individual
MS. AMONDA BENTLEY WROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
317 CENTRAL AVE, GLYNDON, MD 21071-4216
(443) 797-9241
Mailing address
PO BOX 28, 317 CENTRAL AVE, GLYNDON, MD 21071
(443) 797-9241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R119539
MD
363LA2200X
Adult Health Nurse Practitioner
R119539
MD
363LG0600X
Gerontology Nurse Practitioner
R119539
MD
Other
Enumeration date
03/02/2015
Last updated
09/22/2016
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