| Doctor Name: | MRS. AMANDA BERKEBILE WAINWRIGHT |
| NPI Number: | 1174923015 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP- C |
| License Number: | LG-0000780 |
| Business Practice Address: | 96 Atlantic Ave Suite 103 Ocean View, DE - 199709103 |
| Business Phone Number: | 1305414460 |
| Business Fax Number: | |
| Mailing Address: | 9811 Carey Rd, BERLIN |
| State: | MD |
| Postal Code: | 218112117 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/28/2014 |
| NPI Last Update Date: | 08/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | LG-0000780 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |