Individual provider · Type 1 NPI

Amanda Diane Kallas, CRNP

Family Nurse Practitioner · Frederick, MD

NPI number 1265833099 Active

Practice location

180 Thomas Johnson Dr Ste 202
Frederick, MD 21702-4550

Call (301) 631-6877 Map

Fax (301) 631-5211

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR178408 (MD)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

Other family nurse practitioner providers in Frederick

See all in Frederick →

About NPI 1265833099

Amanda Diane Kallas, CRNP's National Provider Identifier is 1265833099, issued on Sep 11, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Frederick, MD. The record was last updated on Sep 7, 2022.