Individual
MRS. TRACI ELIZABETH ANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPN, CPNPAC
Contact information
Practice address
1800 NEW ORLEANS ST, SUITE 6302, BALTIMORE, MD 21287-4904
(404) 432-7273
Mailing address
1800 NEW ORLEANS ST, SUITE 6302, BALTIMORE, MD 21287-4904
(404) 432-7273
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
R208920
MD
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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