Individual
AMANDA REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7601 OSLER DR, TOWSON, MD 21204-7700
(410) 337-1353
Mailing address
4018 SCHROEDER AVE, PERRY HALL, MD 21128-9704
(443) 977-9565
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R176336
MD
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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