MEDICARE: DR. MERCY AMAH DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	R251160	MD
2	261QP3300X	Pain Clinic/Center	R251160	MD

General Provider Information

NPI Number	:	1255974374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MERCY AMAH DNP

Provider Business Mailing Address
First Line	:	8178 LARK BROWN RD STE 102
Second Line	:
City	:	ELKRIDGE
State	:	MD
Zip	:	21075-6438
Country	:	US
Telephone Number	:	301-256-5251
Fax Number	:	410-904-5993

Provider Business Practice Location Address
First Line	:	8178 LARK BROWN RD STE 102
Second Line	:
City	:	ELKRIDGE
State	:	MD
Zip	:	21075-6438
Country	:	US
Telephone Number	:	301-256-5251
Fax Number	:	410-904-5993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2019
Last Update Date	:	07/08/2024

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