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Individual

MS. PATRICIA ANN GRODIN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN,MS,CS,P

Contact information

Practice address
3305 N LEISURE WORLD BLVD, SILVER SPRING, MD 20906-1367
(301) 598-1554
(301) 598-1569
Mailing address
1435 BAY HEAD RD, ANNAPOLIS, MD 21409-5708
(410) 349-3456
(410) 268-5597

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R063595
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00157614
MEDICAIRE RR
MD
Enumeration date
06/01/2006
Last updated
07/08/2007
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