Stacey, Amanda
Stacey, Amanda is an individual health care provider with primary practice located at 1954 Greenspring Dr Ste 530 , Timonium MD 21093-4192. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Stacey, Amanda can be contacted via phone (667) 668-2566.Contact Information
Primary practice address
1954 Greenspring Dr Ste 530
Timonium MD 21093-4192
Phone: (667) 668-2566
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C0008911 | Maryland |
Profile Details
NPI number | 1619461126 |
---|---|
LBN Legal business name | Stacey, Amanda |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2018 |
Last updated | Jun 16th, 2023 - about last year |
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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