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Individual

MS. IZABELA M. PLUCINSKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.P.

Contact information

Practice address
1509 RITCHIE HWY, ARNOLD, MD 21012-2742
(410) 757-7600
(410) 626-8043
Mailing address
1111 BENFIELD BLVD, SUITE 200, MILLERSVILLE, MD 21108-3002
(410) 729-5100
(410) 729-5156

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R149225
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101974
JHHC PROVIDER NUMBER
MD
01
1968324
AETNA HMO
MD
05
405983200
MD
01
643657-01
CAREFIRST MD RENDERING
MD
01
7605-0070
CAREFIRST BLUECHOICE
MD
01
9717220
AETNA PPO
MD
01
P00338933
RAILROAD MEDICARE
MD
Enumeration date
08/17/2005
Last updated
01/24/2011
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