Individual
AMY M SWANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1800 ORLEANS STREET, BLALOCK 1410, BALTIMORE, MD 21287-0010
(443) 287-2937
(410) 955-8309
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R150772
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R150772
CRNA LICENSE
MD
Enumeration date
04/19/2006
Last updated
03/10/2021
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