Individual
LAURA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
609 MOODY RD, MIDDLE RIVER, MD 21220-3885
(443) 812-8422
Mailing address
609 MOODY RD, MIDDLE RIVER, MD 21220-3885
(443) 812-8422
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
R146362
MD
363LF0000X
Family Nurse Practitioner
R146362
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R146362
MD
Other
Enumeration date
03/15/2017
Last updated
07/15/2024
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