Individual
BROOKE A ELLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10750 COLUMBIA PIKE STE 700, SILVER SPRING, MD 20901-4461
(301) 681-6772
Mailing address
10552 HUNTERS WAY, LAUREL, MD 20723-5724
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R217302
MD
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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