Individual
JUSTINE PREIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8800 WALTHER BLVD, BALTIMORE, MD 21234-9001
(410) 882-3240
(410) 661-5093
Mailing address
701 MAIDEN CHOICE LN, BALTIMORE, MD 21228-5968
(410) 882-3240
(410) 661-5093
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R043580
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018
CAREFIRST
—
01
—
093NER-606567-01
CAREFIRST BCBS OF MD
—
01
—
093NSE-606567-01
CAREFIRST BCBS OF MD
—
01
—
0943ER-606567-02
CAREFIRST BCBS OF MD
—
05
—
280003900
—
MD
01
—
60656701
BCBS
—
01
—
8300981
EVERCARE
—
01
—
9676-0027
CAREFIRST BCBS OF DC
—
Enumeration date
07/01/2006
Last updated
07/17/2009
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