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Individual

BRIAN SHARKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
711 MAIDEN CHOICE LN, BALTIMORE, MD 21228-3632
(410) 247-5602
(410) 247-1756
Mailing address
701 MAIDEN CHOICE LN, BALTIMORE, MD 21228-5968
(410) 737-8838
(410) 314-7979

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R137750
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0943ER-618712-03
CAREFIRST BCBS OF MD
01
138CER618172-01
CAREFIRST BCBS OF MD
05
401198800
MD
01
61871201
BCBS
MD
01
8301302
EVERCARE
05
960702100
MD
01
T016-0033
BCBS-DC
Enumeration date
02/23/2006
Last updated
07/17/2009
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