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Individual

CAROLYN SHEAFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
311 N 4TH ST, OAKLAND, MD 21550-1371
(301) 334-8171
(301) 334-1807
Mailing address
311 N 4TH ST, OAKLAND, MD 21550-1371
(301) 334-8171
(301) 334-1807

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R133781
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810000418
WV
05
405518700
MD
Enumeration date
10/07/2005
Last updated
09/05/2012
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