Individual
AMIE BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
915 SETON DR, CUMBERLAND, MD 21502
(240) 503-1500
(240) 503-1501
Mailing address
915 SETON DR, CUMBERLAND, MD 21502-1817
(240) 503-1500
(240) 503-1501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R227674
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R227674
LICENSE
MD
Enumeration date
02/23/2022
Last updated
10/30/2023
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