Individual
AMANDA STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2415 MUSGROVE RD STE 203, SILVER SPRING, MD 20904-5228
(301) 989-2300
(301) 236-5357
Mailing address
2415 MUSGROVE RD STE 203, SILVER SPRING, MD 20904-5228
(301) 989-2300
(301) 236-5357
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008911
MD
Other
Enumeration date
06/18/2018
Last updated
01/09/2025
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