Individual
SAMANTHA L MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
501 W SEVENTH ST, SUITE D, FREDERICK, MD 21701-4586
(301) 694-5861
Mailing address
501 W SEVENTH ST, SUITE D, FREDERICK, MD 21701-4586
(301) 694-5861
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R171140
MD
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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