Individual
MRS. AMANDA NICOLE MCCLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
3998 FAIR RIDGE DR STE 290, FAIRFAX, VA 22033-2907
(703) 359-5900
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
0024174339
VA
367A00000X
Advanced Practice Midwife
Primary
0024174339
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024174339
STATE LICENSE
VA
Enumeration date
12/31/2016
Last updated
11/28/2023
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