| Organization Name: | NANCY E PROSSER M.D., PA |
| NPI Number: | 1376960500 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY E PROSSER (DOCTOR) |
| Mailing Address: | 742 Joppa Farm Rd Joppa |
| State: | MD US |
| Postal Code: | 210854452 |
| Phone Number: | 4106792020 |
| Fax Number: | 4106799817 |
| NPI Enumeration Date: | 03/26/2014 |
| NPI Last Update Date: | 03/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D31093 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |