Individual
MRS. SHIRLEY LIN PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
700 SUMMERTIME DR, ODENTON, MD 21113-1590
(410) 245-0210
Mailing address
700 SUMMERTIME DR, ODENTON, MD 21113-1590
(410) 245-0210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R199636
MD
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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