Individual
EVA RODL BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST SUITE S12D, UNIVERSITY OF MARYLAND, BALTIMORE, MD 21201-1544
(410) 328-6034
Mailing address
22 S GREENE ST S12D, UNIVERSITY OF MARYLAND, BALTIMORE, MD 21201-1544
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R176311
MD
Other
Enumeration date
12/13/2011
Last updated
08/16/2012
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