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Individual

MRS. ANDREA LYNN SHAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
MARYLAND PRIMARY CARE PHYSICIANS 125 SHOREWAY DR, STE 120, QUEENSTOWN, MD 21658
(410) 827-4001
Mailing address
132A PINEVIEW AVE, SEVERNA PARK, MD 21146-1658
(701) 866-2213

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R198145
MD

Other

Enumeration date
06/25/2019
Last updated
06/25/2019
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