Mabrey, Jakarta A
Mabrey, Jakarta A is an individual health care provider with primary practice located at 6095 Marshalee Dr Ste 100, Elkridge MD 21075-6053. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mabrey, Jakarta A can be contacted via phone (443) 838-8891.Contact Information
Primary practice address
6095 Marshalee Dr Ste 100
Elkridge MD 21075-6053
Phone: (443) 838-8891
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R130549 | Maryland |
Profile Details
| NPI number | 1366772964 |
|---|---|
| LBN Legal business name | Mabrey, Jakarta A |
| Credentials | CRNP-FAMILY |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2010 |
| Last updated | Feb 22nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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