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Amy Theriault, CRNP
Family Nurse Practitioner in North East, Maryland
NPI 1295107977

Amy Theriault is a Family Nurse Practitioner based in Bel Air, MD and is specialized in Family. Amy Theriault practices in North East, MD and has the professional credentials of CRNP. The NPI Number for Amy Theriault is 1295107977 and holds a License No. R165542 (Maryland).

The current practice location address for Amy Theriault is 103 Cool Springs Rd, North East, MD and can be reached out via phone at 410-322-2265.

Location: 103 Cool Springs Rd, North East, MD, 21014-4324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295107977
Provider Name
Amy Theriault
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
103 Cool Springs Rd, North East, MD, 21014-4324
Phone Number
410-322-2265
Fax Number
Provider Enumeration Date
10/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
103 Cool Springs Rd
City
North East
State
Maryland
Zip
21901-2902
Phone Number
410-322-2265
Fax Number
person
Provider Business Mailing Address Details
Address
103 Cool Springs Rd
City
North East
State
Maryland
Zip
21901-2902
Phone Number
410-322-2265
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R165542 (Maryland)
Definition
Definition to come...
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