Individual
ELIZABETH FELL PAULDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
25 MAIN STREET, SUITE 200, REISTERSTOWN, MD 21136
(410) 526-8310
(410) 526-8316
Mailing address
25 MAIN STREET, SUITE 200, REISTERSTOWN, MD 21136
(410) 526-8310
(410) 526-8316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R137433
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
R137433
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699007000
—
MD
Enumeration date
07/26/2006
Last updated
05/19/2008
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