Healthcare Provider Details

I. General information

NPI: 1881584704
Provider Name (Legal Business Name): AMBER HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 08/10/2025
Certification Date: 08/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 CHERRY HILL RD STE 101
BALTIMORE MD
21225-1228
US

IV. Provider business mailing address

7 MINK HOLLOW CT
OWINGS MILLS MD
21117-4868
US

V. Phone/Fax

Practice location:
  • Phone: 443-898-6622
  • Fax: 866-319-9336
Mailing address:
  • Phone: 443-986-1418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TRIDONNA DEVAL BRANDFORD
Title or Position: OWNER
Credential: CRNP
Phone: 443-898-6622