Individual
MS. HILDA ARDELLA LIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4401 FLOWERTON ROAD, BALTIMORE, MD 21229-1510
(144) 368-3302
(667) 200-1186
Mailing address
4401 FLOWERTON ROAD, BALTIMORE, MD 21229-1510
(443) 683-3025
(667) 200-1186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R090530
MD
Other
Enumeration date
12/29/2008
Last updated
12/20/2022
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