Individual
JUDY LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5840 BANNEKER RD STE 270, COLUMBIA, MD 21044-3462
(301) 381-8381
Mailing address
10317 KINGSWAY CT, ELLICOTT CITY, MD 21042-5802
(443) 254-1007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R228103
MD
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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