Individual
HEATHER MAY SOUTHWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AG-ACNP
Contact information
Practice address
4330 ESTATE DR, HUNTINGTOWN, MD 20639-9733
(410) 703-3284
Mailing address
4330 ESTATE DR, HUNTINGTOWN, MD 20639-9733
(410) 703-3284
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN1037248
DC
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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