Fradel, Amy M
Fradel, Amy M is an individual health care provider with primary practice located at 1111 N Charles St , Baltimore MD 21201-5505. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fradel, Amy M can be contacted via phone (410) 837-2050.Contact Information
Primary practice address
1111 N Charles St
Baltimore MD 21201-5505
Phone: (410) 837-2050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RO32359 | Maine |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7655 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP81518 | Maine |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71007240A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AC001746 | Maryland |
Profile Details
| NPI number | 1881671345 |
|---|---|
| LBN Legal business name | Fradel, Amy M |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Dec 28th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881671345 | NPPES |
| Other | 012002 | ANTHEM OF ME | |
| MEDICAID | 431729399 | ANTHEM OF ME |
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