Provider Demographics
NPI:1154834026
Name:MILLS, AMANDA JANE (CNM)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:JANE
Last Name:MILLS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Mailing Address - Street 1:8110 MAPLE LAWN BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2694
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:301-340-8339
Practice Address - Street 1:1165 IMPERIAL DR
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-6555
Practice Address - Country:US
Practice Address - Phone:301-665-9098
Practice Address - Fax:240-485-3096
Is Sole Proprietor?:No
Enumeration Date:2017-11-14
Last Update Date:2023-11-29
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Provider Licenses
StateLicense IDTaxonomies
MDR229795367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife