Individual
ROSHNI LIZ CHETTIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8850 COLUMBIA 100 PKWY, SUITE 301, COLUMBIA, MD 21045-2374
(301) 560-4747
(301) 776-1725
Mailing address
7350 VAN DUSEN RD, STE 130, LAUREL, MD 20707-5267
(301) 560-4747
(301) 776-1725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R187321
MD
Other
Enumeration date
12/18/2015
Last updated
04/04/2017
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