Doctor Name: | MS. ELLEN LOUISE CURRO |
NPI Number: | 1821304817 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | C0000733 |
Business Practice Address: | 8106 Stayton Dr Ste D Jessup, MD - 207949615 |
Business Phone Number: | 3015201673 |
Business Fax Number: | 8662899771 |
Mailing Address: | 8106 Stayton Dr Ste D, JESSUP |
State: | MD |
Postal Code: | 207949615 |
Phone Number: | 3015201673 |
Fax Number: | 8662899771 |
NPI Enumeration Date: | 08/27/2010 |
NPI Last Update Date: | 10/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | C0000733 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |