Individual
MS. BARBARA A HERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5401 OLD COURT RD, OUTPATIENT SERVICES, RANDALLSTOWN, MD 21133-5103
(410) 521-2200
(410) 521-1135
Mailing address
2401 W BELVEDERE AVE, ATTN: CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R082702
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410288600
—
MD
Enumeration date
06/13/2006
Last updated
08/31/2015
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