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Individual

MS. KATHRYN FISHER PENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
7350 VAN DUSEN RD, SUITE 130, LAUREL, MD 20707-5263
(301) 498-8880
(301) 498-7939
Mailing address
7350 VAN DUSEN RD, SUITE 130, LAUREL, MD 20707-5263
(301) 498-8880
(301) 498-7939

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R147872
MD

Other

Enumeration date
11/02/2011
Last updated
11/02/2011
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