Organization
DAMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ELIZABETH BERNAL-CLARK APRN,BC (CRNP)
(410) 641-1117
Entity
Organization
Contact information
Practice address
331 BUTTERCUP CT, BERLIN, MD 21811
(410) 713-2353
Mailing address
P.O. BOX 2497, SALISBURY, MD 21802-2497
(443) 260-2660
(443) 260-2754
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0000410
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000036290
—
DE
05
—
405537300
—
MD
Enumeration date
09/06/2006
Last updated
09/17/2008
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