Individual
MS. DANITA CUSTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5610 HARFORD RD, BALTIMORE, MD 21214-2247
(443) 405-8005
Mailing address
5610 HARFORD RD, BALTIMORE, MD 21214-2247
(443) 405-8005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R208603
MD
Other
Enumeration date
08/21/2025
Last updated
11/28/2025
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