Individual
SRIDEVI PRAVEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6439 SEDGWICK ST, ELKRIDGE, MD 21075-6198
(301) 275-1743
Mailing address
920 ELKRIDGE LANDING RD, LINTHICUM, MD 21090-2917
(443) 462-5010
(410) 684-2031
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R172477
MD
Other
Enumeration date
04/19/2016
Last updated
06/24/2016
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