Individual
ELAINE MARIE MENNITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
350 MONTEVUE LN, FREDERICK, MD 21702-8214
(301) 694-1029
(301) 631-3111
Mailing address
350 MONTEVUE LN, FREDERICK, MD 21702-8214
(301) 694-1029
(301) 631-3111
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R116213
MD
Other
Enumeration date
10/14/2005
Last updated
08/16/2007
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