Individual
MS. IDETTE BRUMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 SHELLDRAKE CT, DAMASCUS, MD 20872-2614
(301) 758-0866
(301) 253-5174
Mailing address
30 SHELLDRAKE CT, DAMASCUS, MD 20872-2614
(301) 758-0866
(301) 253-5174
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
R107452
MD
163WC1500X
Community Health Registered Nurse
R107452
MD
163WC1600X
Continuing Education/Staff Development Registered Nurse
R107452
MD
163WH0200X
Home Health Registered Nurse
Primary
R107452
MD
163WW0000X
Wound Care Registered Nurse
R107452
MD
Other
Enumeration date
11/16/2021
Last updated
11/29/2021
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