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Individual

AMANDA HUNTER RUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 566-4333
(240) 566-7400
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 566-4333
(240) 566-7400

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R148886
MD
363LG0600X
Gerontology Nurse Practitioner
R148886
MD

Other

Enumeration date
02/26/2015
Last updated
09/11/2016
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