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Contact Information

AMANDA K BLISS, PHYSICIAN ASSISTANT
194 THOMAS JOHNSON DR
FREDERICK, MD21702-4679
 Phone: 240-215-6310
 Fax: 240-566-7754
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for AMANDA K BLISS · (Female)

NPI # 1972809044
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 02/07/2011
Last updated 07/16/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • MD License # C0007382
  • NY License # 006528-1
  • NY License # 014596-1
  • WV License # 01753
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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