Individual
MRS. KRISTINA MARIE HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6479
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-6479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R174855
MD
163W00000X
Registered Nurse
RN1026044
DC
363LA2100X
Acute Care Nurse Practitioner
Primary
R174855
MD
363LA2100X
Acute Care Nurse Practitioner
RN1026044
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053640701
—
MD
01
—
S062-0579
CAREFIRST BC/BS
MD
Enumeration date
04/04/2012
Last updated
08/31/2015
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