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Individual

SANDRA S GREER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4660 WILKENS AVE STE 100, BALTIMORE, MD 21229-4899
(410) 247-0782
Mailing address
7944 JASONS LANDING WAY, SEVERN, MD 21144-2664
(215) 880-0986

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R203466
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164992038
MD
Enumeration date
12/04/2018
Last updated
07/12/2019
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