Individual
EDITH EMELIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
9513 STONEY RIDGE RD, SPRINGDALE, MD 20774-5441
(240) 381-5413
Mailing address
9513 STONEY RIDGE RD, SPRINGDALE, MD 20774-5441
(240) 381-5413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R200399
MD
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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