Individual
CAROLYN PATRICIA SPONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4390 MONTGOMERY RD, TARGET CLINIC, ELLICOTT CITY, MD 21043-6068
(410) 203-1700
(410) 203-1026
Mailing address
4390 MONTGOMERY RD, TARGET CLINIC, ELLICOTT CITY, MD 21043-6068
(410) 203-1700
(410) 203-1026
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R169761
MD
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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