Individual
LISA ANN MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
621 RIDGELY AVE, SUITE 201, ANNAPOLIS, MD 21401-1081
(410) 224-4887
(410) 266-6931
Mailing address
621 RIDGELY AVE, SUITE 201, ANNAPOLIS, MD 21401-1081
(410) 224-4887
(410) 266-6931
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R089995
MD
Other
Enumeration date
05/02/2010
Last updated
02/19/2015
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