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Individual

LAURA ANN MASTELLA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
6701 N CHARLES ST, SUITE 4105, BALTIMORE, MD 21204-6808
(410) 821-2800
(410) 821-2804
Mailing address
402 PATLEIGH RD, CATONSVILLE, MD 21228-5632
(410) 744-8114
(410) 744-8757

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R084663
MD

Other

Enumeration date
07/19/2005
Last updated
07/08/2007
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