Individual
LIZA COLETTE BROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 MEMORIAL AVE, SUITE 307, CUMBERLAND, MD 21502
(301) 723-4965
(301) 723-4983
Mailing address
500 MEMORIAL AVE, SUITE 307, CUMBERLAND, MD 21502-3732
(301) 723-4965
(301) 723-4983
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R134724
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R134724
MD
Other
Enumeration date
07/17/2008
Last updated
07/16/2018
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