| NPI | 1285654079 |
|---|---|
| Other Name | EAGLE'S TRACE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY NORMAN President 410-402-2257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QG0300X Family Medicine Geriatric Medicine | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 213E00000X Podiatrist | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LG0600X Nurse Practitioner Gerontology | |
| 364SG0600X Clinical Nurse Specialist Gerontology | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2022-12-08 |