Healthcare Provider Details

I. General information

NPI: 1659085405
Provider Name (Legal Business Name): AMANDA RISHEE ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2023
Last Update Date: 01/06/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4331 PIPER LN
MARBURY MD
20658-2014
US

IV. Provider business mailing address

4331 PIPER LN
MARBURY MD
20658-2014
US

V. Phone/Fax

Practice location:
  • Phone: 240-222-2442
  • Fax:
Mailing address:
  • Phone: 240-222-2442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: