MEDICARE: MS. PATSY ANN ARDINGER CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	RO40624	MD

General Provider Information

NPI Number	:	1366549453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATSY ANN ARDINGER CRNP

Provider Business Mailing Address
First Line	:	18515 KENT AVE
Second Line	:
City	:	HAGERSTOWN
State	:	MD
Zip	:	21740-9557
Country	:	US
Telephone Number	:	301-733-1953
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 W PRESTON ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21201-2301
Country	:	US
Telephone Number	:	410-767-5726
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/08/2007

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