Individual
GABRIELA AMAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3070 CRAIN HWY STE 101, WALDORF, MD 20601-2831
(240) 416-3733
(949) 695-2597
Mailing address
11683 HENLEY CT, WALDORF, MD 20602-4100
(240) 416-3733
(949) 695-2597
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R223160
MD
163W00000X
Registered Nurse
RN1041937
DC
363LF0000X
Family Nurse Practitioner
R223160
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R223160
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R223160
RN LICENSE
MD
01
—
RN1041937
RN LICENSE
DC
Enumeration date
03/22/2017
Last updated
12/30/2024
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