Linsey Petrucci

NPI 1750773008 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1750773008
Gender Female
Enumeration Date 02/24/2015
Last Updated 02/24/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
515 BRIGHTFIELD RD
LUTHERVILLE MD, 21093-3643, US
Phone (410) 296-1990
Fax
Business Location
101 E STATE ST
KENNETT SQUARE PA, 19348-3109, US
Phone
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Maryland
License Number R191455
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According to our database, Linsey Petrucci NPI is 1750773008, taxonomy code is 363LA2200X and license number is R191455, license state is located at Maryland. Linsey Petrucci physically located at 515 Brightfield Rd, Lutherville MD, 21093-3643. NPI Number Linsey Petrucci has the Individual type.

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1750773008 NPI number is provided on an as is basis without warranty of any kind. 1750773008 is maintained by the National Plan & Provider Enumeration System. The contents of Linsey Petrucci are for informational purposes only.