Individual
SHAYLA MARI HEMINGWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
102 PAUL MELLON CT STE 102, WALDORF, MD 20602-2793
(301) 645-7414
Mailing address
102 PAUL MELLON CT STE 102, WALDORF, MD 20602-2793
(301) 645-7414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R234528
MD
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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