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Contact Information

SUZETTE ANDERSON, CRNP
DR. SHAFQUAT MERAJ MDPA
1015 PRINCE FREDERICK BLVD.
PRINCE FREDERICK, MD20678
 Phone: 410-535-4116
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUZETTE ANDERSON · (Female)

NPI Number 1386258929
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 09/01/2020
Last updated 01/24/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # R148987
  • MD Medicaid 184189100
  • MD Other 1386258929 UROLOGY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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