Most Relevant Information
Provider Data
| NPI Number: | 1003420282 |
| Provider Name: | MARY CLAIRE PERRY CPNP-AC/PC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | R208134 |
Most Important Dates
| Enumeration Date: | 09/03/2020 |
| Last Updated: | 09/03/2020 |
Provider Practice Location
737 W LOMBARD ST STE 314
BALTIMORE
MD
212011009
Practice Location Phone/Fax
| Phone: | 4103285887 |
| Fax: |
Provider Mailing Location
100 RIGGS AVE
SEVERNA PARK
MD
211464420
Provider Mailing Phone/Fax
| Phone: | 4109912637 |
| Fax: |