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General NPI Number Information
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NPI Number | 1760899637
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Entity Type | Individual
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Provider Name | BRIGID PROSSER CRNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/12/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5804 BALTIMORE AVE.
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City | HYATTSVILLE
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State | MD
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Zip | 20781
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Country | US
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Telephone | 301-927-7800
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Fax | 301-209-9474
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Provider Business Mailing Address
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Address Line | 5804 BALTIMORE AVE.
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City | HYATTSVILLE
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State | MD
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Zip | 20781
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Country | US
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Telephone | 301-927-7800
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Fax | 301-209-9474
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R174145
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN1024693
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 114387
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704308476
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704308476
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 203799
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License Number State | TN
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