Individual
SOPHIE THIBODEAU ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2003 MEDICAL PKWY, SUITE 250, ANNAPOLIS, MD 21401-7992
(410) 224-2228
Mailing address
2003 MEDICAL PKWY, SUITE 250, ANNAPOLIS, MD 21401-7992
(410) 224-2228
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
RN2274306
MA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R208808
MD
Other
Enumeration date
07/26/2012
Last updated
04/25/2017
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