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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881671345 NPPES
Other 012002 ANTHEM OF ME
MEDICAID 431729399 ANTHEM OF ME

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