Healthcare Provider Details

I. General information

NPI: 1114671880
Provider Name (Legal Business Name): JAMES AMARA NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2022
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18310 MONTGOMERY VILLAGE AVE STE 300
GAITHERSBURG MD
20879-3552
US

IV. Provider business mailing address

18310 MONTGOMERY VILLAGE AVE STE 300
GAITHERSBURG MD
20879-3552
US

V. Phone/Fax

Practice location:
  • Phone: 443-452-3909
  • Fax: 443-759-3721
Mailing address:
  • Phone: 443-452-3909
  • Fax: 443-759-3721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR187407
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: