Individual
MRS. AMY ELIZABETH GOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
115 LA GRANGE AVE UNIT A, SUITE 101, LA PLATA, MD 20646-9597
(301) 392-1935
(301) 392-1936
Mailing address
115 LA GRANGE AVE UNIT A, SUITE 101, LA PLATA, MD 20646-9597
(301) 392-1935
(301) 392-1936
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R196265
MD
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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