is a Adult Health in Pasadena, Maryland. practices all healthcare services and medical treatments related to Adult Health. The NPI Number for is 1356392963. The last update date is .
's current location address is 8028 Ritchie Hwy, Pasadena, Maryland. You can contact this provider via phone number 4107661995 and fax number 4107616095. The mailing address for is 8028 Ritchie Hwy, Pasadena, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 8028 Ritchie Hwy, Pasadena, Maryland |
| Phone Number | 4107661995 |
| Fax Number | 4107616095 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1356392963 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 8028 Ritchie Hwy |
|---|---|
| City | Pasadena |
| State | Maryland (MD) |
| Post Code | 211221075 |
| Phone Number | 4107661995 |
| Fax Number | 4107616095 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300012500 | MD | -- |
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