Organization
EUTIERRIA HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN ANOKHIN-MOGILNAY CRNP (OWNER)
(410) 852-1020
Entity
Organization
Contact information
Practice address
203 BRYAN WAY STE A, REISTERSTOWN, MD 21136-5958
(410) 852-1020
Mailing address
203 BRYAN WAY STE A, REISTERSTOWN, MD 21136-5958
(410) 852-1020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
570114700
—
MD
Enumeration date
10/08/2019
Last updated
10/08/2019
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