Healthcare Provider Details

I. General information

NPI: 1821541350
Provider Name (Legal Business Name): AMY ELIZABETH HELTEMES NP-C, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY ELIZABETH CALLIES

II. Dates (important events)

Enumeration Date: 08/02/2016
Last Update Date: 08/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S CHURCH ST
MIDDLETOWN MD
21769-8043
US

IV. Provider business mailing address

PO BOX 20 PO BOX 20
MIDDLETOWN MD
21769-0020
US

V. Phone/Fax

Practice location:
  • Phone: 301-371-9000
  • Fax: 301-371-8905
Mailing address:
  • Phone: 301-371-9000
  • Fax: 301-371-8905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR180860
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: