Individual
MRS. KATIE MICHAEL CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1509 RITCHIE HWY, ARNOLD, MD 21012-2742
(410) 757-7600
Mailing address
7580 BUCKINGHAM BLVD STE 220, HANOVER, MD 21076-3210
(410) 729-5100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R217355
MD
Other
Enumeration date
07/24/2019
Last updated
09/25/2019
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