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Individual

ELIZABETH NATALIE CUSACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6701 N CHARLES ST, SUITE 201, BALTIMORE, MD 21204-6808
(443) 849-3051
Mailing address
518 S BETHEL ST, BALTIMORE, MD 21231-2927
(410) 303-6055

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R178177
MD

Other

Enumeration date
05/07/2014
Last updated
05/07/2014
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