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NIRALI A DEPASQUALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2323 ORLEANS ST, BALTIMORE, MD 21224-1020
(410) 558-4747
(410) 732-0185
Mailing address
3501 SINCLAIR LN, BALTIMORE, MD 21213-2029
(410) 732-8800
(410) 534-2392

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0001223328
VA
363LF0000X
Family Nurse Practitioner
Primary
R206077
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
376751500
MD
Enumeration date
02/03/2012
Last updated
07/17/2017
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