MEDICARE: MS. CARA MICHELE NETHER L.AC.

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	171100000X	Acupuncturist	U01472	MD

General Provider Information

NPI Number	:	1922212687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CARA MICHELE NETHER L.AC.

Provider Business Mailing Address
First Line	:	1014 DULANEY VALLEY RD
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21204-2702
Country	:	US
Telephone Number	:	443-527-8425
Fax Number	:	240-399-9055

Provider Business Practice Location Address
First Line	:	1014 DULANEY VALLEY RD
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21204-2702
Country	:	US
Telephone Number	:	443-527-8425
Fax Number	:	240-399-9055

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

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	05/12/2011

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