Individual
ELIZABETH ANN NORTHRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7055 SAMUEL MORSE DR, SUITE 200, COLUMBIA, MD 21046-3439
(410) 910-6676
Mailing address
7055 SAMUEL MORSE DR, SUITE 200, COLUMBIA, MD 21046-3439
(410) 910-6676
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001230701
VA
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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