Individual
ASHLY ANNA NINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5210 EASTERN AVE, BALTIMORE, MD 21224-2719
(410) 550-0931
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R217269
MD
Other
Enumeration date
04/18/2022
Last updated
10/05/2022
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