Provider Demographics
NPI:1407136732
Name:SZABADOS, AMY R (CRNP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:R
Last Name:SZABADOS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:R
Other - Last Name:MCCLELLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:301-271-3535
Mailing Address - Fax:301-271-2650
Practice Address - Street 1:52 WATER ST
Practice Address - Street 2:
Practice Address - City:THURMONT
Practice Address - State:MD
Practice Address - Zip Code:21788-1912
Practice Address - Country:US
Practice Address - Phone:301-271-3535
Practice Address - Fax:301-271-2650
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011556363LF0000X
MDR183603363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103063160Medicaid
12277689OtherCAQH
PA2680876OtherHIGHMARK BLUE SHIELD - FREEDOM BLUE
PA1602292OtherGATEWAY MEDICARE ASSURED
MD227992ZARAMedicare PIN