Individual
MRS. MARY KATHLEEN HABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1040 PARK AVE STE 200, BALTIMORE, MD 21201-5634
(443) 738-0300
(443) 738-0301
Mailing address
2140 PEACHTREE RD NW STE 232, ATLANTA, GA 30309-1316
(404) 231-4431
(404) 231-5677
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-46806
MD
163WL0100X
Lactation Consultant (Registered Nurse)
R195767
MD
363LF0000X
Family Nurse Practitioner
Primary
R195767
MD
Other
Enumeration date
11/05/2015
Last updated
06/16/2018
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