Individual
MS. PALESTINE A SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
USAMEDDAC 2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755
(301) 619-4633
(301) 619-4635
Mailing address
1434 PORTER ST, FORT DETRICK, MD 21702-9254
(301) 619-7175
(301) 619-4635
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
RO88541
MD
363L00000X
Nurse Practitioner
R088541
MD
363LX0106X
Occupational Health Nurse Practitioner
Primary
RO88541
MD
Other
Enumeration date
08/05/2006
Last updated
08/27/2024
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