Individual provider · Type 1 NPI

Marlo Ann Michell Eldridge, CPNP

Pediatric Nurse Practitioner · Baltimore, MD

NPI number 1376682906 Active

Practice location

601 N Caroline St, Office #4035
Baltimore, MD 21287-0006

Fax (410) 614-0789

Mailing address

5004 Brampton Pkwy
Ellicott City, MD 21043-7423

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR134853 (MD)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1376682906

Marlo Ann Michell Eldridge, CPNP's National Provider Identifier is 1376682906, issued on Feb 6, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Baltimore, MD. The record was last updated on Jul 8, 2007.