Individual
CLARISSA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7803 LONGRIDGE RD, NOTTINGHAM, MD 21236-3831
(410) 624-9810
Mailing address
7803 LONGRIDGE RD, NOTTINGHAM, MD 21236-3831
(410) 624-9810
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R132603
MD
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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