Susan W Ettinger, MSN,NPC | |
2360 W Joppa Rd, Lutherville Timonium, MD 21093-4624 | |
(410) 847-3535 | |
Not Available |
Full Name | Susan W Ettinger |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2360 W Joppa Rd, Lutherville Timonium, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144325275 | NPI | - | NPPES |
0718126 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 279604 (Massachusetts) | Secondary |
363L00000X | Nurse Practitioner | R078653 (Maryland) | Primary |
Entity Name | Johns Hopkins Community Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578598868 PECOS PAC ID: 8325943707 Enrollment ID: O20031220000065 |
Mailing Address | Practice Location Address |
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Susan W Ettinger, MSN,NPC 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-5412 | Susan W Ettinger, MSN,NPC 2360 W Joppa Rd, Lutherville Timonium, MD 21093-4624 Ph: (410) 847-3535 |
Marie Dominique Ashen, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10755 Falls Rd, Pavilion 1 Suite 360, Lutherville Timonium, MD 21093 Phone: 410-583-2740 Fax: 410-583-2741 | |
Ms. Allegra Jacqueline Hamman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10753 Falls Rd, Johns Hopkins At Green Spring Suite 315, Lutherville Timonium, MD 21093 Phone: 410-583-2926 Fax: 410-583-2883 | |
Kelly E Alilio, DNP, CRNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Lambeth Bridge Ct, Lutherville Timonium, MD 21093 Phone: 443-306-8077 | |
Meggie Rodriguez Machigua, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1447 York Rd Ste 506, Lutherville Timonium, MD 21093 Phone: 410-825-2281 | |
Mrs. Irene Janet Mccrea, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 Brightfield Rd, Lutherville, Lutherville Timonium, MD 21093 Phone: 410-296-1990 Fax: 410-337-7233 | |
Colleen Lindo, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1927 York Rd, Lutherville Timonium, MD 21093 Phone: 443-681-9893 |