Individual
MS. KAREN LOUISE MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P
Contact information
Practice address
484 RITCHIE HWY # A, SEVERNA PARK, MD 21146-2911
(410) 544-4600
(410) 544-0997
Mailing address
800 COOL GLADE CT, MILLERSVILLE, MD 21108-1731
(410) 987-0784
(410) 987-0784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R066214
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116724
JHHC PROVIDER NUMBER
MD
01
—
646351-01
CAREFIRST MD RENDERING
MD
01
—
7605-0074
CAREFIRST BLUECHOICE
MD
Enumeration date
08/09/2005
Last updated
07/08/2007
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