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Individual

MISS ELIZABETH ANN SHANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7250 PARKWAY DRIVE, SUITE 500, HANOVER, MD 21076
(443) 949-0814
Mailing address
7250 PARKWAY DRIVE, SUITE 500, HANOVER, MD 21076
(443) 949-0814

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0005721
MD
363A00000X
Physician Assistant
OA006216
PA
363AM0700X
Medical Physician Assistant
Primary
C05721
MD

Other

Enumeration date
03/13/2015
Last updated
09/08/2022
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