Individual
MRS. THERESA RUGALLA BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-9227
Mailing address
8518 79TH DIVISION BLVD, FORT MEADE, MD 20755-1507
(717) 512-8765
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R184354
MD
363LA2100X
Acute Care Nurse Practitioner
SP012500
PA
Other
Enumeration date
03/04/2013
Last updated
02/15/2018
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