Elizabeth Ann Brick, NP-C

Individual provider Active NPI Family Nurse Practitioner · Gambrills, MD

NPI 1205016102 · NPPES record last updated Jan 23, 2024

Key facts

NPI
1205016102
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
R236708 (MD)
Practice address
3100 Arrowhead Farms Rd
Gambrills, MD 21054-1927
Phone
(305) 389-7222
NPI assigned
Nov 7, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R236708MDMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R236708 MD Yes

Addresses

Primary practice location

3100 Arrowhead Farms Rd
Gambrills, MD 21054-1927

Mailing address

3100 Arrowhead Farms Rd
Gambrills, MD 21054-1927
Phone (305) 389-7222

Other providers in Gambrills, MD

All providers in Gambrills, MD · Family Nurse Practitioner in Maryland

Sources for this page

Verify at the official NPI Registry.