Individual
MARILYN C HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5700 FIELDCREST DR, WHITE MARSH, MD 21162-1143
(410) 497-0990
Mailing address
5700 FIELDCREST DR, WHITE MARSH, MD 21162-1143
(410) 497-0990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R171573
MD
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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