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NPI Code Detail

MEDICARE: MARTHA BISHOP BROWN RN

MEDICARE: MARTHA BISHOP BROWN RN
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
1163WS0200XSchool Registered NurseR096220MD

General Provider Information

NPI Number : 1356560783
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA BISHOP BROWN RN
Provider Business Mailing Address
First Line : 1202 OAK HILL PL APT 1B
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21403-3562
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : MACARTHUR MIDDLE SCHOOL
Second Line : 3500 ROCKENBACH RD
City : FT MEADE
State : MD
Zip : 20755
Country : US
Telephone Number : 410-222-6838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 07/08/2007

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