Individual
COURTNEY O'BANNON ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 SAINT PAUL ST, BALTIMORE, MD 21202-2123
(410) 332-9000
Mailing address
16 W BARNEY ST, BALTIMORE, MD 21230-4837
(228) 627-8185
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R192981
MD
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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