person
Mrs. Amanda Diane Kallas, CRNP
Family Nurse Practitioner in Frederick, Maryland
NPI 1265833099

Amanda Diane Kallas is a Family Nurse Practitioner based in Frederick, MD and is specialized in Family. Amanda Diane Kallas practices in Frederick, MD and has the professional credentials of CRNP. The NPI Number for Amanda Diane Kallas is 1265833099 and holds a License No. R178408 (Maryland).

The current practice location address for Amanda Diane Kallas is 180 Thomas Johnson Dr Ste 202, Frederick, MD and can be reached out via phone at 301-631-6877 and via fax at 301-631-5211.

Location: 180 Thomas Johnson Dr Ste 202, Frederick, MD, 21702-4550
person
Provider Profile Details
NPI Number
1265833099
Provider Name
Amanda Diane Kallas
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
180 Thomas Johnson Dr Ste 202, Frederick, MD, 21702-4550
Phone Number
301-631-6877
Fax Number
301-631-5211
Provider Enumeration Date
09/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
180 Thomas Johnson Dr Ste 202
City
State
Zip
21702-4550
Phone Number
301-631-6877
Fax Number
301-631-5211
person
Provider Business Mailing Address Details
Address
180 Thomas Johnson Dr Ste 202
City
State
Zip
21702-4550
Phone Number
301-631-6877
Fax Number
301-631-5211
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R178408 (Maryland)
Definition
Definition to come...
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