Provider Demographics
NPI:1689911190
Name:OPPELT, AMY KATHERINE (MS, PA-C)
Entity Type:Individual
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First Name:AMY
Middle Name:KATHERINE
Last Name:OPPELT
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Gender:F
Credentials:MS, PA-C
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Mailing Address - Street 1:PO BOX 37189
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-3189
Mailing Address - Country:US
Mailing Address - Phone:571-423-5699
Mailing Address - Fax:571-423-5698
Practice Address - Street 1:22895 BRAMBLETON PLZ STE 200
Practice Address - Street 2:
Practice Address - City:BRAMBLETON
Practice Address - State:VA
Practice Address - Zip Code:20148-4878
Practice Address - Country:US
Practice Address - Phone:703-722-2312
Practice Address - Fax:703-722-2317
Is Sole Proprietor?:No
Enumeration Date:2013-01-04
Last Update Date:2023-11-27
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Provider Licenses
StateLicense IDTaxonomies
VA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant