Individual
MS. SARA SUSAN HALUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1800 ORLEANS STREET ZAYED 10E MICU NPPA OFFICE, BALTIMORE, MD 21264-1003
(410) 955-5570
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2011016705
MO
363LA2100X
Acute Care Nurse Practitioner
Primary
AC005529
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429515703
—
MO
Enumeration date
10/26/2011
Last updated
07/21/2023
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