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Individual

AMY M FRADEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
Mailing address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RO32359
ME
363L00000X
Nurse Practitioner
101.0136959
VT
363LF0000X
Family Nurse Practitioner
101.0136959
VT
363LF0000X
Family Nurse Practitioner
71007240A
IN
363LF0000X
Family Nurse Practitioner
7655
WI
363LF0000X
Family Nurse Practitioner
Primary
AC001746
MD
363LF0000X
Family Nurse Practitioner
CNP81518
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
012002
ANTHEM OF ME
05
431729399
ME
Enumeration date
12/27/2005
Last updated
10/21/2024
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