Individual
MS. VIDA AMEVINYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
251 LEWIS LN STE 101, HAVRE DE GRACE, MD 21078-3758
(410) 398-8899
(410) 398-1477
Mailing address
PO BOX 309, ELKTON, MD 21922-0309
(410) 398-8899
(410) 398-1477
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R221939
MD
363LF0000X
Family Nurse Practitioner
Primary
R221939
MD
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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