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1023462702
SRIDEVI PRAVEEN
ELKRIDGE, MD
NPI
1023462702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MD R172477)
Enumeration Date
2016-04-19
Last Update Date
2016-06-24
Business Address
-- SRIDEVI PRAVEEN CRNP
6439 SEDGWICK ST
ELKRIDGE, MD 21075-6198
Phone number: 301-275-1743
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Mailing Address
-- SRIDEVI PRAVEEN CRNP
920 ELKRIDGE LANDING RD
LINTHICUM, MD 21090-2917
Phone number: 443-462-5010
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