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Individual

DR. MISTY LYNN KOTHARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-C

Contact information

Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0350
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-0000
(410) 500-4266

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R184808
MD

Other

Enumeration date
09/05/2024
Last updated
10/31/2025
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