Individual
MS. AMANDA PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2720 CARSINS RUN RD, ABERDEEN, MD 21001-1516
(443) 356-1922
Mailing address
2720 CARSINS RUN RD, ABERDEEN, MD 21001-1516
(443) 356-1922
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R232943
MD
Other
Enumeration date
03/22/2023
Last updated
12/16/2024
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