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Individual

CARA RESKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
1792 MERRITT BLVD, DUNDALK, MD 21222-3212
(410) 284-1133
(410) 284-3371
Mailing address
1792 MERRITT BLVD, DUNDALK, MD 21222-3212
(410) 284-1133
(410) 284-3371

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R202772
MD
363LP0200X
Pediatric Nurse Practitioner
Primary
R202772
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
339517100
MD
Enumeration date
05/18/2015
Last updated
06/18/2020
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