Individual
AMITA JOHN LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
900 VAN BUREN ST, ANNAPOLIS, MD 21403-2124
(410) 926-0055
Mailing address
1186 GATOR CT, ARNOLD, MD 21012-1970
(410) 926-0055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R209048
MD
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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