Individual
SUSAN PODRAZA KOPUNEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
900 S CATON AVE, MS 235, BALTIMORE, MD 21229-5201
(667) 234-8777
(667) 234-3517
Mailing address
900 S CATON AVE, MS 235, BALTIMORE, MD 21229-5201
(667) 234-8777
(667) 234-3517
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R120298
MD
Other
Enumeration date
06/29/2012
Last updated
03/13/2017
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