Theriault, Amy
Theriault, Amy is an individual health care provider with primary practice located at 103 Cool Springs Rd , North East MD 21901-2902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Theriault, Amy can be contacted via phone (410) 322-2265.Contact Information
Primary practice address
103 Cool Springs Rd
North East MD 21901-2902
Phone: (410) 322-2265
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R165542 | Maryland |
Profile Details
| NPI number | 1295107977 |
|---|---|
| LBN Legal business name | Theriault, Amy |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2015 |
| Last updated | Oct 21st, 2015 - about 10 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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