Healthcare Provider Details

I. General information

NPI: 1457288979
Provider Name (Legal Business Name): AMEZ FAMILY MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 S CHARLES ST STE 4033046
BALTIMORE MD
21201-3220
US

IV. Provider business mailing address

20 S CHARLES ST STE 4033046
BALTIMORE MD
21201-3220
US

V. Phone/Fax

Practice location:
  • Phone: 240-736-7886
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHERRY AMANKWA
Title or Position: FAMILY NURSE PRACTITIONER
Credential:
Phone: 678-237-5193