Individual
MICHAL ALIZA DENISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5101 LANIER AVE, BALTIMORE, MD 21215-5321
(410) 601-9300
Mailing address
2719 WOODCOURT RD, BALTIMORE, MD 21209-2521
(408) 621-5775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R209587
MD
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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