Healthcare Provider Details

I. General information

NPI: 1548455256
Provider Name (Legal Business Name): AMY SOOD BARSHINGER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY SOOD CRNP

II. Dates (important events)

Enumeration Date: 09/06/2007
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 PHILADELPHIA AVE
OCEAN CITY MD
21842-3735
US

IV. Provider business mailing address

10026 OLD OCN BLVD STE 1
BERLIN MD
21811-1288
US

V. Phone/Fax

Practice location:
  • Phone: 410-289-6241
  • Fax: 410-289-5533
Mailing address:
  • Phone: 410-629-6541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR162227
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: