Individual
MS. NANCY ANN STALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2401 W BELVEDERE AVE, CDCR, BALTIMORE, MD 21215-5216
(410) 601-8450
(410) 601-1470
Mailing address
2401 W BELVEDERE AVE, CDCR, BALTIMORE, MD 21215-5216
(410) 601-8450
(410) 601-1470
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RO84934
MD
Other
Enumeration date
03/05/2009
Last updated
09/10/2019
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