Individual
CELINE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
6020 MEADOWRIDGE CENTER DR STE P1, ELKRIDGE, MD 21075-6528
(443) 492-9466
Mailing address
1308 CUNNINGHAM RD, SEVERN, MD 21144-1847
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AC003550
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766383800
—
MD
Enumeration date
03/02/2021
Last updated
10/05/2022
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