Individual
MRS. REGINA CLARE BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6095 MARSHALEE DR, ELKRIDGE, MD 21075-6053
(443) 790-1572
Mailing address
6095 MARSHALEE DR, ELKRIDGE, MD 21075-6053
(443) 790-1572
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R130191
MD
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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