Individual
LIANA G CHOTIKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3333 N CALVERT ST STE 655, BALTIMORE, MD 21218-6516
(410) 554-2175
(410) 554-2917
Mailing address
3333 N CALVERT ST STE 655, BALTIMORE, MD 21218-6516
(410) 554-2175
(410) 554-2917
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R080135
MD
363LA2200X
Adult Health Nurse Practitioner
R080135
MD
Other
Enumeration date
05/15/2012
Last updated
04/26/2022
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