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Organization

WAINWRIGHT DIRECT PRIMARY CARE LLC

Active
Other names
Amanda Wainwright, CRNP
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMANDA BERKEBILE WAINWRIGHT NURSE PRACTITIONER (OWNER/ PROVIDER)
(443) 424-6131
Entity
Organization

Contact information

Practice address
32427 LIGHTHOUSE RD, SELBYVILLE, DE 19975-3408
(443) 783-0153
Mailing address
32427 LIGHTHOUSE RD, SELBYVILLE, DE 19975-3408
(443) 424-6131
(302) 616-0003

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
02/15/2019
Last updated
07/08/2021
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