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NPI Code Detail

MEDICARE: AMANDA LOUISE SHAFER MSN, CRNP, FNP-C

MEDICARE: AMANDA LOUISE SHAFER MSN, CRNP, FNP-C
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
1363LF0000XFamily Nurse PractitionerR233326MD

General Provider Information

NPI Number : 1437859881
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA LOUISE SHAFER MSN, CRNP, FNP-C
Provider Business Mailing Address
First Line : 10440 LITTLE PATUXENT PKWY STE 300
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3648
Country : US
Telephone Number : 888-731-8994
Fax Number :
Provider Business Practice Location Address
First Line : 10440 LITTLE PATUXENT PKWY STE 300
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3648
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2023
Last Update Date : 01/15/2026

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