Individual
SUSAN CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNP
Contact information
Practice address
305 COLLEGE PKWY, ARNOLD, MD 21012-2912
(410) 647-0015
(410) 647-0019
Mailing address
8028 RITCHIE HWY, SUITE 210B, PASADENA, MD 21122-1075
(410) 766-1995
(410) 761-6095
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R107431
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
644565900
—
MD
Enumeration date
06/07/2006
Last updated
12/02/2011
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