Provider Demographics
NPI:1467250894
Name:PYNE, AMANDA S (NBC HWC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:S
Last Name:PYNE
Suffix:
Gender:
Credentials:NBC HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-5624
Mailing Address - Country:US
Mailing Address - Phone:410-375-8794
Mailing Address - Fax:
Practice Address - Street 1:2207 RIDGE RD
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-5624
Practice Address - Country:US
Practice Address - Phone:410-375-8794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach