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Individual

TINA KUSHNIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNAP, CRNA

Contact information

Practice address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 790-8000
Mailing address
6 HIGH SIDE CT, OWINGS MILLS, MD 21117-1272
(443) 854-2771

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R207931
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R207931
MD

Other

Enumeration date
06/12/2020
Last updated
07/28/2020
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