Individual
LIUBA PRAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
921 SETON DR STE FANDG, CUMBERLAND, MD 21502-1852
(240) 522-0098
(240) 522-0099
Mailing address
PO BOX 1602, CUMBERLAND, MD 21501-1602
(240) 362-7025
(240) 362-7571
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F11180797
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417460619
TYPE 2 NPI GROUP #
—
05
—
999023200
—
MD
01
—
DL77
CAREFIRST
MD
Enumeration date
07/29/2019
Last updated
12/11/2020
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