Individual
MARY E SPARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2114 GENERALS HWY, ANNAPOLIS, MD 21401-7488
(888) 808-6483
Mailing address
2209 DEFENSE HWY, CROFTON, MD 21114-2403
(443) 332-4260
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024173630
VA
363LF0000X
Family Nurse Practitioner
Primary
R099071
MD
Other
Enumeration date
07/25/2016
Last updated
06/15/2020
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