NPI | 1215493093 |
---|---|
Doing Business As | AMANDA WAINWRIGHT, CRNP |
Entity Type | Organization |
Authorized Contact | AMANDA BERKEBILE WAINWRIGHT Owner/ Provider 443-424-6131 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2019-02-15 |
Last Update Date | 2021-07-08 |