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Individual

CAROL PATRICIA MCLEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
6126 LANDOVER RD UNIT 3, CHEVERLY, MD 20785-1016
(301) 955-0744
(440) 408-3200
Mailing address
6126 LANDOVER RD UNIT 3, CHEVERLY, MD 20785-1016
(301) 955-0744

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
R131588
MD
314000000X
Skilled Nursing Facility
R131588
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
R131588
MD

Other

Enumeration date
04/11/2007
Last updated
08/04/2020
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