Individual
MS. JUDITH ELLEN CARBARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6104 OLD BRANCH AVE, TEMPLE HILLS, MD 20748-2518
(301) 702-6100
(301) 702-6100
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R066975
MD
363L00000X
Nurse Practitioner
RN1008386
DC
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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