Individual
THOMASINA ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
15 W AYLESBURY RD STE 600, LUTHERVILLE TIMONIUM, MD 21093-4168
(410) 575-1200
Mailing address
15 W AYLESBURY RD STE 600, LUTHERVILLE TIMONIUM, MD 21093-4168
(410) 575-1200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0045239
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0011677
DE
Other
Enumeration date
01/14/2015
Last updated
09/02/2021
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