Healthcare Provider Details

I. General information

NPI: 1629902093
Provider Name (Legal Business Name): AMIE NICOLE WOOD NRP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10840 GUILFORD RD
ANNAPOLIS JUNCTION MD
20701-1121
US

IV. Provider business mailing address

11804 FEDERALIST WAY APT 22
FAIRFAX VA
22030-7829
US

V. Phone/Fax

Practice location:
  • Phone: 571-235-9277
  • Fax:
Mailing address:
  • Phone: 571-235-9277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: