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Individual

BRIAN CRAIG FIKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ANP

Contact information

Practice address
901 ELKRIDGE LANDING RD STE 100, LINTHICUM HEIGHTS, MD 21090
(800) 405-9681
Mailing address
3786 PLUM MEADOW DR, ELLICOTT CITY, MD 21042-5124
(410) 935-4258

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
253445
NC
363L00000X
Nurse Practitioner
Primary
R215874
MD
363LA2200X
Adult Health Nurse Practitioner
253445
NC
363LA2200X
Adult Health Nurse Practitioner
834966
TX

Other

Enumeration date
08/10/2012
Last updated
09/10/2018
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