Clarke, Amanda

Clarke, Amanda is an individual health care provider with primary practice located at 951A Mount Hermon Rd , Salisbury MD 21804-5105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Clarke, Amanda can be contacted via phone (410) 548-2700.

Contact Information

Primary practice address
951A Mount Hermon Rd Salisbury MD 21804-5105
Fax: (410) 548-2608
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R170955 Maryland

Profile Details

NPI number 1124036421
LBN Legal business name Clarke, Amanda
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Feb 14th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124036421 NPPES
Maryland Other R170955 LICENSE

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