Individual
ASTA ELIZABETH PUSKARICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP-PMH
Contact information
Practice address
5022 CAMPBELL BLVD STE L-M, NOTTINGHAM, MD 21236-4969
(443) 442-1568
(443) 442-1569
Mailing address
5200 CAMPBELL BLVD STE L-M, NOTTINGHAM, MD 21236-4983
(443) 442-1568
(443) 442-1569
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
R184811
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R814811
MD
Other
Enumeration date
07/24/2024
Last updated
02/04/2025
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