Individual
MS. AMANDA DUNLAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
630 S EXETER ST, BALTIMORE, MD 21202-4316
(410) 962-6520
Mailing address
630 S EXETER ST, BALTIMORE, MD 21202-4316
(410) 962-6520
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
R215448
MD
363LF0000X
Family Nurse Practitioner
N110361
MD
363LF0000X
Family Nurse Practitioner
Primary
R215448
MD
Other
Enumeration date
01/05/2021
Last updated
03/07/2022
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