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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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