Individual
LARSHARVEA BENNETT BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(443) 287-2937
(410) 955-8309
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R225434
MD
Other
Enumeration date
11/20/2007
Last updated
03/19/2019
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