Healthcare Provider Details

I. General information

NPI: 1912513763
Provider Name (Legal Business Name): HEATHER N D'AMARIO DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER N FITZPATRICK DNP, FNP-C

II. Dates (important events)

Enumeration Date: 09/17/2020
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 WESTMINSTER PIKE STE 104
REISTERSTOWN MD
21136-1027
US

IV. Provider business mailing address

515 FAIRMOUNT AVE STE 400
TOWSON MD
21286-8518
US

V. Phone/Fax

Practice location:
  • Phone: 410-526-3042
  • Fax: 410-584-2258
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR206524
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: