Individual
ANDREA BOGNANNI SEBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
120 S HAYS ST, BEL AIR, MD 21014-3615
(410) 688-0615
Mailing address
1930 WHITEFORD RD, STREET, MD 21154-1506
(410) 688-0615
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R199491
MD
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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