| Authentic Release Inc | |
|
1406b Crain Hwy S Ste 306 Glen Burnie MD 21061-4094 | |
| (301) 804-0344 | |
| (301) 349-1370 |
| Full Name | Authentic Release Inc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1406b Crain Hwy S Ste 306, Glen Burnie, Maryland |
| Authorized Official Name and Position | Shannon Martin (OWNER) |
| Authorized Official Contact | 3018040344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Release Inc 1406b Crain Hwy S Ste 306 Glen Burnie MD 21061-4094 Ph: (301) 804-0344 | Authentic Release Inc 1406b Crain Hwy S Ste 306 Glen Burnie MD 21061-4094 Ph: (301) 804-0344 |
| NPI Number | 1720869548 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Certification Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720869548 | NPI | - | NPPES |
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