Individual
KRISTEN MILIO NELMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 553-8300
Mailing address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 553-8300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R152210
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406267100
—
MD
01
—
643255-02
CARE FIRST MARYLAND RENDERING NUMBER
MD
01
—
6784
BRAVO HEALTH
—
01
—
F591-0025
CARE FIRST DC
DC
Enumeration date
10/03/2005
Last updated
01/12/2023
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