Individual
BETH ANN MENTUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2435 W BELVEDERE AVE, SUITE 42, BALTIMORE, MD 21215-5224
(410) 601-5547
Mailing address
2435 W BELVEDERE AVE, SUITE 42, BALTIMORE, MD 21215-5224
(410) 601-5547
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R148732
MD
Other
Enumeration date
11/20/2009
Last updated
07/21/2010
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