Individual provider · Type 1 NPI
Vida Amevinya, CRNP
Family Nurse Practitioner · Havre De Grace, MD
NPI number
1124711700
Active
Practice location
251 Lewis Ln Ste 101
Havre De Grace, MD 21078-3758
Fax (410) 398-1477
Mailing address
PO Box 309
Elkton, MD 21922-0309
Other practice locations
- 215 North St., Suite A, Pediatrics, Elkton, MD 21921 · (410) 398-8899
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R221939 (MD) |
| Family Nurse Practitioner Primary | 363LF0000X | R221939 (MD) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1124711700
Vida Amevinya, CRNP's National Provider Identifier is 1124711700, issued on May 31, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Havre De Grace, MD. The record was last updated on May 31, 2023.