Organization
CARING HANDS OF FREDRICK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA JEAN EATON CRNP-MSN (OWNER)
(301) 865-4484
Entity
Organization
Contact information
Practice address
4202 GREEN VALLEY RD, MONROVIA, MD 21770-9517
(301) 865-4484
(301) 865-2844
Mailing address
4202 GREEN VALLEY RD, MONROVIA, MD 21770-9517
(301) 865-4484
(301) 865-2844
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R050640
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R050640
NURSE PRACTITIONER
MD
Enumeration date
05/23/2007
Last updated
03/07/2023
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