Search › Maryland › 106S00000X
Autumn Pannkuk
NPI 1144840422 · on the registry since 2020
Practice
- Address
- 1395 Bayside Dr
Edgewater, MD 21037 - Phone
- (951) 283-8174
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland