Individual
GRETCHEN H SHAPERO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11085 LITTLE PATUXENT PKWY, STE 103, COLUMBIA, MD 21044-2983
(410) 997-0580
(410) 740-8587
Mailing address
11085 LITTLE PATUXENT PKWY, STE 103, COLUMBIA, MD 21044-2983
(410) 997-0580
(410) 740-8587
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C00730
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1251004
—
MD
Enumeration date
08/10/2005
Last updated
07/08/2007
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