AMY M FRADEL FNP NPI 1881671345

NPI Information

NPI: 1881671345
Provider Name: AMY M FRADEL, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1111 N CHARLES ST
BALTIMORE, MD
ZIP 21201
Phone: (410) 837-2050
Get Directions

Amy M Fradel, FNP is a family nurse practitioner in Baltimore, MD with 36 years of experience. Amy M Fradel, FNP NPI is 1881671345. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1111 N CHARLES ST
BALTIMORE, MD
ZIP 21201-505
Phone: (410) 837-2050

The NPI 1881671345 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 12/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RO32359	MAINE	No
2	363LF0000X	Nurse Practitioner	Family	7655	WISCONSIN	No
3	363LF0000X	Nurse Practitioner	Family	CNP81518	MAINE	No
4	363LF0000X	Nurse Practitioner	Family	71007240A	INDIANA	No
5	363LF0000X	Nurse Practitioner	Family	AC001746	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	431729399	MEDICAID	MAINE
2	012002	OTHER		ANTHEM OF ME

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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