Provider Demographics
NPI:1952955577
Name:MCGINN, AMY ELIZABETH (CRNP)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:ELIZABETH
Last Name:MCGINN
Suffix:
Gender:F
Credentials:CRNP
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Other - Credentials:
Mailing Address - Street 1:2025 CHANEYVILLE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:OWINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20736-4300
Mailing Address - Country:US
Mailing Address - Phone:410-286-3865
Mailing Address - Fax:410-286-8085
Practice Address - Street 1:2025 CHANEYVILLE RD STE 200
Practice Address - Street 2:
Practice Address - City:OWINGS
Practice Address - State:MD
Practice Address - Zip Code:20736-4300
Practice Address - Country:US
Practice Address - Phone:410-286-3865
Practice Address - Fax:410-286-8085
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR206584363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7992963Medicaid
937386OtherMEDICARE