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Individual

MRS. SUZANNE M BRACKLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP, DNAP

Contact information

Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-5568
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R192908
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R192908
MD

Other

Enumeration date
03/09/2023
Last updated
09/14/2024
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