Provider Demographics
NPI:1295447167
Name:ROWLAND, AMANDA LEIGH (NP)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:LEIGH
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9161 OLD SCAGGSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1727
Mailing Address - Country:US
Mailing Address - Phone:301-512-7722
Mailing Address - Fax:
Practice Address - Street 1:10710 CHARTER DR STE G020
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3257
Practice Address - Country:US
Practice Address - Phone:410-964-2212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR167832363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR167832OtherMARYLAND BOARD OF NURSING