Individual
KAREN MICHELE FAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(410) 328-5842
(410) 328-2750
Mailing address
PO BOX 64226, BALTIMORE, MD 21264-4226
(667) 214-1720
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R196465
MD
363L00000X
Nurse Practitioner
Primary
R196465
MD
Other
Enumeration date
03/02/2022
Last updated
11/23/2022
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