| Ms Laura Sullivan, CRNP | |
| 
					2465 Route 97 Ste 10, Glenwood, MD 21738-9749  | |
| (410) 489-9550 | |
| (410) 489-5527 | 
| Full Name | Ms Laura Sullivan | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 2465 Route 97 Ste 10, Glenwood, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1912531062 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R093585 (Maryland) | Primary | 
| Entity Name | Scott T Maurer Md Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699361493 PECOS PAC ID: 2961806203 Enrollment ID: O20210809000749  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Laura Sullivan, CRNP 2465 Route 97 Ste 10, Glenwood, MD 21738-9749 Ph: (410) 489-9550  | Ms Laura Sullivan, CRNP 2465 Route 97 Ste 10, Glenwood, MD 21738-9749 Ph: (410) 489-9550  | 
Miss Sophia Flynn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2480 Roxbury Mills Rd Ste 10, Glenwood, MD 21738 Phone: 443-423-1500  | |
Gabriel Essilfie, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2840 Rolling Fork Way, Glenwood, MD 21738 Phone: 609-668-4719  | |
Amy Sheffield Pippenger, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3231 Huntersworth, Glenwood, MD 21738 Phone: 410-489-0002  |