Individual
MISS MARLENE JOAN MARGERUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6052 AUGUSTINE AVE, ELKRIDGE, MD 21075-5351
(443) 820-7565
Mailing address
6052 AUGUSTINE AVE, ELKRIDGE, MD 21075-5351
(443) 820-7565
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
R158868
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
R158868
MD
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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