Individual
NICHOLE M FUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
200 FORBES ST STE 200, ANNAPOLIS, MD 21401-1527
(301) 672-1842
Mailing address
328 ALAMEDA PKWY, ARNOLD, MD 21012-1411
(301) 672-1842
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R218025
MD
Other
Enumeration date
06/24/2021
Last updated
04/11/2024
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