Individual
MISS SUSAN ELIZABETH HUPPMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6454
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6454
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R182291
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699226373
—
MD
Enumeration date
10/03/2017
Last updated
10/03/2017
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