Individual
MS. PATRICIA A ETHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7055 SAMUEL MORSE DRIVE, SUITE 200, COLUMBIA, MD 21046-3441
(410) 910-6713
(410) 910-6627
Mailing address
7055 SAMUEL MORSE DRIVE, SUITE 200, COLUMBIA, MD 21046-3441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R085252
MD
163WD0400X
Diabetes Educator Registered Nurse
R85252
MD
Other
Enumeration date
05/11/2007
Last updated
11/06/2012
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