Individual
MRS. AMANDA BERKEBILE WAINWRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP- C
Contact information
Practice address
32427 LIGHTHOUSE RD, SELBYVILLE, DE 19975-3408
(443) 424-6131
(302) 616-0003
Mailing address
32427 LIGHTHOUSE RD, SELBYVILLE, DE 19975-3408
(443) 424-6131
(302) 616-0003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0000780
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LG-0000780
STATE LICENSE
DE
01
—
R181844
STATE LICENSE
MD
Enumeration date
08/28/2014
Last updated
07/08/2021
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