Individual
VIRGINIA SINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2502 RIVER RIDGE TRL, ELLICOTT CITY, MD 21043-5150
(410) 336-1269
Mailing address
2502 RIVER RIDGE TRL, ELLICOTT CITY, MD 21043-5150
(410) 336-1269
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R134844
MD
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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