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Individual

MIRIAM SIRI A AMBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
6501 N CHARLES ST, TOWSON, MD 21204-6819
(410) 938-5000
Mailing address
849 FAIRMOUNT AVE FL 5, TOWSON, MD 21286-2624
(443) 377-5273
(443) 659-2429

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R225144
MD

Other

Enumeration date
06/27/2021
Last updated
09/11/2024
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