Individual provider · Type 1 NPI
Amy Theriault, CRNP
Family Nurse Practitioner · North East, MD
NPI number
1295107977
Active
Practice location
103 Cool Springs Rd
North East, MD 21901-2902
Mailing address
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R165542 (MD) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in North East
About NPI 1295107977
Amy Theriault, CRNP's National Provider Identifier is 1295107977, issued on Oct 21, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in North East, MD. The record was last updated on Oct 21, 2015.