Individual
MRS. SHARON ELIZABETH BRODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP - PEDIATRICS
Contact information
Practice address
8109 RITCHIE HIGHWAY, PASADENA, MD 21122
(410) 590-8826
(410) 768-1949
Mailing address
8109 RITCHIE HIGHWAY, PASADENA, MD 21122
(410) 590-8826
(410) 768-1949
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R089082
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83014
PNCB
—
01
—
R089082
MBON
MD
Enumeration date
07/24/2006
Last updated
07/08/2007
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