Individual
MS. PAMELA S MUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
9 SCHILLING RD, HUNT VALLEY, MD 21031-1191
(410) 771-9220
Mailing address
PO BOX 631568, BALTIMORE, MD 21263-1568
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R069188
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KJ15GB-52837403
CAREFIRST MARYLAND
MD
01
—
KJ15GB/52837403
CAREFIRST MARYLAND
MD
01
—
S138-0098
CAREFIRST REGIONAL
MD
01
—
S138/0098
CAREFIRST REGIONAL
MD
Enumeration date
08/31/2006
Last updated
08/02/2007
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