Individual
AMANDA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CRNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-0958
Mailing address
13939 MANTUA MILL RD, GLYNDON, MD 21136-4834
(484) 889-6477
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R228228
MD
363LF0000X
Family Nurse Practitioner
Primary
SP032501
PA
Other
Enumeration date
02/24/2025
Last updated
06/06/2025
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