Individual
KELLIE ELIZABETH HEBBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-2302
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-2302
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R180832
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
R180832
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
557711000
—
MD
01
—
S062-0532
CAREFIRST BC/BS
MD
Enumeration date
08/08/2013
Last updated
12/01/2022
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