| Nancy E Prosser M.d., Pa | |
|
742 Joppa Farm Rd Joppa MD 21085-4452 | |
| (410) 679-2020 | |
| (410) 679-9817 |
| Full Name | Nancy E Prosser M.d., Pa |
|---|---|
| Speciality | General Practice |
| Location | 742 Joppa Farm Rd, Joppa, Maryland |
| Authorized Official Name and Position | Nancy E Prosser (DOCTOR) |
| Authorized Official Contact | 4106792020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy E Prosser M.d., Pa 742 Joppa Farm Rd Joppa MD 21085-4452 Ph: (410) 679-2020 | Nancy E Prosser M.d., Pa 742 Joppa Farm Rd Joppa MD 21085-4452 Ph: (410) 679-2020 |
| NPI Number | 1376960500 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 03/26/2014 |
| Medicare PECOS PAC ID | 9133343957 |
|---|---|
| Medicare Enrollment ID | O20140618001554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376960500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | D31093 (Maryland) | Primary |
| Provider Name | Nancy Ellen Prosser |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1801978465 PECOS PAC ID: 7214079136 Enrollment ID: I20100115000019 |
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