Individual
MRS. ELIZABETH CALIMLIM-DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
260 GATEWAY DR, #20 A, BEL AIR, MD 21014-4268
(410) 420-7630
(410) 420-7911
Mailing address
166 ENGLISH RUN CIR, SPARKS, MD 21152-8849
(410) 472-3121
(410) 472-2524
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R084031
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215861200
—
MD
Enumeration date
06/19/2006
Last updated
09/29/2010
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