NPI 1669054615

Clarissa Victoria Trader

Practitioner Licensed Practical Nurse Pocomoke City, MD

Practice location

Address: 1532 Ocean Hwy, Pocomoke City, MD 21851-3023
Phone: (443) 437-7128
Fax: (443) 437-7131
Mailing address: 3564 Navigator Dr, Greenbackville, VA 23356-2508

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 0002097361 (VA)

Other Licensed Practical Nurse providers in Maryland →

Registry record

NPI: 1669054615
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Apr 2021
Record last updated: 28 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.