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Individual

MRS. JULIE ANNE EL TAHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
195 THOMAS JOHNSON DRIVE, FREDERICK, MD 21702
(301) 696-1000
(301) 696-1026
Mailing address
3100 WYMAN PARK DR, BALTIMORE, MD 21211-2803

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R108078
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
791800300
MD
Enumeration date
09/08/2006
Last updated
02/28/2014
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