Most Relevant Information
Provider Data
| NPI Number: | 1003351982 |
| Provider Name: | SUSAN WITKOWSKI RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R080325 |
Most Important Dates
| Enumeration Date: | 12/30/2016 |
| Last Updated: | 12/30/2016 |
Provider Practice Location
8304 BANISTER RD
SEVERN
MD
211442822
Practice Location Phone/Fax
| Phone: | 4434536115 |
| Fax: | 8449659440 |
Provider Mailing Location
8304 BANISTER RD
SEVERN
MD
211442822
Provider Mailing Phone/Fax
| Phone: | 4434536115 |
| Fax: | 8449659440 |