Individual
CAROLINE PEMBROOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(855) 633-0205
Mailing address
7503 SURRATTS RD, CLINTON, MD 20735-3358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R174315
MD
163W00000X
Registered Nurse
RN628637
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
R174315
MD
Other
Enumeration date
02/06/2014
Last updated
01/22/2024
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