Individual
PAMELA ANSALVISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6717
Mailing address
22 S GREENE ST, DEPARTMENT OF PEDIATRICS, BALTIMORE, MD 21201-1544
(410) 328-6717
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R069107
MD
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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