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Individual

MISS VIDA MARTEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
11 BRIARS KNOLL WAY, HANOVER, MD 21076-1500
(443) 883-2295

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R219425
MD

Other

Enumeration date
11/15/2021
Last updated
10/10/2024
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