Individual
YVONNE MARIE LISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
8221 TEAL DR, EASTON, MD 21601-7227
(410) 820-5945
Mailing address
24690 PEALIQUOR RD, DENTON, MD 21629-2301
(410) 479-3990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R135787
MD
Other
Enumeration date
03/13/2007
Last updated
12/08/2009
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