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Individual

MRS. SHOSHANA FELDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
18109 PRINCE PHILIP DR, OLNEY, MD 20832-1519
(301) 774-8962
Mailing address
18109 PRINCE PHILIP DR, OLNEY, MD 20832-1519
(301) 774-8962
(301) 774-8963

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R191739
MD
363LF0000X
Family Nurse Practitioner
Primary
R191739
MD
363LF0000X
Family Nurse Practitioner
RN1043164
DC

Other

Enumeration date
05/27/2016
Last updated
11/14/2016
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