Individual
CHANTE KELLIEBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 SAINT STEPHENS WOODS DR, CROWNSVILLE, MD 21032-2200
(202) 489-8555
Mailing address
2008 SAINT STEPHENS WOODS DR, CROWNSVILLE, MD 21032-2200
(202) 489-8555
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R230876
MD
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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