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Individual

ERIN STAUFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3601 ODONNELL ST, BALTIMORE, MD 21224-5238
(443) 797-2251
Mailing address
3601 ODONNELL ST, BALTIMORE, MD 21224-5238

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R170451
MD
363LG0600X
Gerontology Nurse Practitioner
R170451
MD

Other

Enumeration date
06/07/2014
Last updated
06/07/2014
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