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Individual
SUZANNE FERDMAN
Active
Individual
SUZANNE FERDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R 178597
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418863200
—
MD
01
—
956633-01 & 02
CAREFIRST BC/BS
MD
01
—
S062-0370
CAREFIRST BC/BS REGIONAL
MD
Enumeration date
07/26/2009
Last updated
11/21/2011
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