NPI 1699404301

Nicole Angela Harding, COS

Practitioner Prosthetist Glen Burnie, MD

Practice location

Address: 328 Highland Dr APT 104, Glen Burnie, MD 21061-6099
Phone: (443) 679-7879
Mailing address: 1404 S. Main Chapel Way STE. 104 #687, Gambrills, MD 21054

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 435139

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Registry record

NPI: 1699404301
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jun 2022
Record last updated: 8 Jun 2022

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.