Individual
KIRSI JOHANNA HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
1312 STOCKTON RD, JOPPA, MD 21085-1410
(443) 616-1965
Mailing address
1312 STOCKTON RD, JOPPA, MD 21085-1410
(443) 616-1965
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R191846
MD
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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