Individual
MARK ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
6030 MARSHALEE DR, #202, ELKRIDGE, MD 21075
(202) 656-6031
Mailing address
6030 MARSHALEE DR, #202, ELKRIDGE, MD 21075
(202) 656-6031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174360
VA
Other
Enumeration date
12/19/2016
Last updated
12/27/2016
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