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Individual

CHARIA LOUISE FRIEND

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
6085 MARSHALEE DR, SUITE 110, ELKRIDGE, MD 21075-6023
(443) 756-9176
Mailing address
1507 WINDING BROOK WAY, WINDSOR MILL, MD 21244-1686
(410) 944-0077

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R147658
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01380002
AMERIGROUP
MD
01
169641ZBQK
MEDICARE
MD
01
336513100
MEDICAL ASSISTANCE
MD
01
96266102
CAREFIRST
MD
01
N681-0002
CAREFIRST
DC
01
P00900535
RAILROAD MEDICARE
GA
Enumeration date
01/16/2007
Last updated
04/11/2011
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