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NPI Code Detail

MEDICARE: SUMMER ELIZABETH STROUSE CRNP

MEDICARE:   SUMMER ELIZABETH STROUSE  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
1363LA2200XAdult Health Nurse PractitionerR158069MD

General Provider Information

NPI Number : 1962712174
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMMER ELIZABETH STROUSE CRNP
Provider Business Mailing Address
First Line : 8028 RITCHIE HWY
Second Line : SUITE 210
City : PASADENA
State : MD
Zip : 21122-1075
Country : US
Telephone Number : 410-766-1995
Fax Number :
Provider Business Practice Location Address
First Line : 1000 N GILMOR ST
Second Line :
City : BALTIMORE
State : MD
Zip : 21217-2207
Country : US
Telephone Number : 410-669-2750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2010
Last Update Date : 01/12/2017

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Directions to “ SUMMER ELIZABETH STROUSE CRNP” Practice Location

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