Individual
AMANDA M BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
63 THOMAS JOHNSON DR, FREDERICK, MD 21702-4384
(301) 694-7600
(301) 228-2500
Mailing address
610 SOLAREX COURT, FREDERICK, MD 21703
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R131979
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N51966
CDS
MD
Enumeration date
01/17/2007
Last updated
03/07/2023
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