Individual
MS. NANCY THERESA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1538 CROFTON PKWY, CROFTON, MD 21114-1533
(410) 721-9533
Mailing address
1538 CROFTON PKWY, CROFTON, MD 21114-1533
(410) 721-9533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R142400
MD
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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