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Individual

AMANDA REGINA WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
200 N WOLFE ST, SUITE 2158, BALTIMORE, MD 21287-0011
(410) 955-4259
(410) 614-2297
Mailing address
200 N WOLFE ST, SUITE 2158, BALTIMORE, MD 21287-0011
(410) 955-4259
(410) 614-2297

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R181947
MD

Other

Enumeration date
06/23/2015
Last updated
06/23/2015
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