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Individual

CONNIE CLEGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CRNP

Contact information

Practice address
400 W 7TH ST, FMH SPECIAL CARE NURSERY, FREDERICK, MD 21701-4506
(240) 566-3330
Mailing address
PO BOX 62080, BALTIMORE, MD 21264-2080
(866) 846-9543
(703) 289-1414

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R151728
MD

Other

Enumeration date
08/08/2006
Last updated
07/08/2007
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