Individual
ELEANOR DORIS MERBOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6100 DOBBIN RD., COLUMBIA, MD 21045
(443) 492-4000
Mailing address
6100 DOBBIN RD, COLUMBIA, MD 21045
(443) 492-4000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R173589
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051086600
—
MD
Enumeration date
08/26/2011
Last updated
11/05/2013
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