Doctor Name: | AMY R MCCLELLAN |
NPI Number: | 1407136732 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP011556 |
Business Practice Address: | 52 Water St Thurmont, MD - 217881912 |
Business Phone Number: | 3012713535 |
Business Fax Number: | 3012712650 |
Mailing Address: | 3421 Concord Rd, YORK |
State: | PA |
Postal Code: | 174029001 |
Phone Number: | 3012713535 |
Fax Number: | 3012712650 |
NPI Enumeration Date: | 08/18/2011 |
NPI Last Update Date: | 02/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP011556 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |