Individual
MYONOWAY PHELPS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12150 ANNAPOLIS RD STE 205, GLENN DALE, MD 20769-9183
(301) 805-1103
Mailing address
12150 ANNAPOLIS RD, GLENN DALE, MD 20769-9183
(301) 805-1103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R168335
MD
Other
Enumeration date
02/08/2023
Last updated
08/06/2024
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