MRS. Shirley Lin Pack, NURSE PRACTITIONER

NPI #1619567906 in Odenton, Maryland

Provider Information

NPI Number: 1619567906
Entity Type: Individual
Name: MRS. Shirley Lin Pack, NURSE PRACTITIONER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nurse Practitioner
Credential: NURSE PRACTITIONER
Enumeration Date: Jan 21, 2021
Last Updated: Jan 21, 2021

Practice Location

Address: 700 SUMMERTIME DR
City: Odenton
State: Maryland
ZIP Code: 21113-1590
Phone: (410) 245-0210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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