| Doctor Name: | DR. AMANDA MARIE BECCALONI |
| NPI Number: | 1093032492 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP, CRNA, FNP-BC |
| License Number: | 9264304 |
| Business Practice Address: | 3225 Spartan Rd Olney, MD - 208322335 |
| Business Phone Number: | 5706500191 |
| Business Fax Number: | |
| Mailing Address: | 23 Pierside Dr, Apt. 429 BALTIMORE |
| State: | MD |
| Postal Code: | 212305463 |
| Phone Number: | 5706500191 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2010 |
| NPI Last Update Date: | 04/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 9264304 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |