Most Relevant Information
Provider Data
| NPI Number: | 1003586991 |
| Provider Name: | NINA RICKEY-SHAREK CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R169715 |
Most Important Dates
| Enumeration Date: | 09/14/2021 |
| Last Updated: | 03/16/2024 |
Provider Practice Location
1902 WALTMAN RD
EDGEWOOD
MD
210402338
Practice Location Phone/Fax
| Phone: | 4436437745 |
| Fax: |
Provider Mailing Location
11311 MCCORMICK RD STE 350
HUNT VALLEY
MD
210318618
Provider Mailing Phone/Fax
| Phone: | 4438496257 |
| Fax: |