Individual
DIANNA LYN MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
975 SOLOMONS ISLAND RD N, PRINCE FREDERICK, MD 20678-3917
(410) 535-5400
Mailing address
9340 MUDD FARM LN, LA PLATA, MD 20646-4305
(443) 421-3514
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R147860
MD
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
R147860
MD
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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