Individual
ELIZABETH JOHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2601 RIVA RD, ANNAPOLIS, MD 21401-7304
(612) 225-1538
Mailing address
2601 RIVA RD, ANNAPOLIS, MD 21401-7304
(612) 225-1538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R166630
MD
Other
Enumeration date
09/19/2009
Last updated
05/12/2011
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