Individual
PAMELA GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1475 TANEY AVE, SUITE 201, FREDERICK, MD 21702-4747
(301) 662-1930
(240) 379-6710
Mailing address
1475 TANEY AVE, SUITE 201, FREDERICK, MD 21702-4747
(301) 662-0133
(204) 379-6710
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R110651
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001381100
—
MD
Enumeration date
09/16/2005
Last updated
06/21/2010
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