Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | R066560 | MD |
N | 363LG0600X | Nurse Practitioner - Gerontology | R066560 | MD |
NPI | 1174908602 |
---|---|
Provider Name | Rose Marie Langrell |
First Address | Salisbury, MD 21801-5422 |
Second Address | Salisbury, MD 21801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2015 |
Last Update Date | 15/06/2018 |