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Individual

MARISA RUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
2408 OAK MANOR RD, BALTIMORE, MD 21219-1922
(443) 986-0215
Mailing address
2408 OAK MANOR RD, BALTIMORE, MD 21219-1922
(443) 986-0215

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R222542
MD

Other

Enumeration date
06/30/2021
Last updated
06/30/2021
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