Individual
AMY LYNNE GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-8964
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-0000
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R104039
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403619100
—
MD
Enumeration date
05/20/2006
Last updated
04/29/2025
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