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Individual

MR. EDWARD L POINDEXTER SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
10320 LITTLE PATUXENT PKWY, SUITE 200, COLUMBIA, MD 21044-3313
(443) 367-8600
Mailing address
10320 LITTLE PATUXENT PKWY, SUITE 200, COLUMBIA, MD 21044-3313
(443) 367-8600

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R156764
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
DO NOT CURRENTLY ACCEPT INSURANCE
Enumeration date
02/27/2007
Last updated
10/01/2014
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