Individual
KIRSTEN PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5712 POPE ST, BROOKLYN PARK, MD 21225-3718
(443) 845-3894
Mailing address
5712 POPE ST, BROOKLYN PARK, MD 21225-3718
(443) 845-3894
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R210356
MD
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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