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Contact Information

VIDA AMEVINYA, CRNP
251 LEWIS LN STE 101
HAVRE DE GRACE, MD21078-3758
 Phone: 410-398-8899
 Fax: 410-398-1477
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for VIDA AMEVINYA · (Female)

NPI Number 1124711700
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 05/31/2023
Last updated 05/31/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MD License # R221939
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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