Individual
DR. AN'NITA MOORE-HEBRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7004 SECURITY BLVD # 300-A27, BALTIMORE, MD 21244-2557
(410) 246-2830
(410) 246-2831
Mailing address
3545 ELLICOTT MILLS DR PMB 204, PMB 204, ELLICOTT CITY, MD 21043-4548
(410) 246-2830
(410) 246-2831
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R154023
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R154023
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109658300
—
MD
Enumeration date
08/15/2013
Last updated
04/01/2024
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