Individual
MONICA C. DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ANESTHESIOLOGY AND CRITICAL CARE MEDICINE, 600 N. WOLFE STREET/ BLALOCK 1415, BALTIMORE, MD 21287-0001
(410) 955-8408
(410) 955-4858
Mailing address
ANESTHESIOLOGY AND CRITICAL CARE MEDICINE, 600 N. WOLFE STREET/ BLALOCK 1415, BALTIMORE, MD 21287-0001
(410) 955-8408
(410) 955-4858
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R161917
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030258900
—
MD
Enumeration date
11/15/2009
Last updated
06/15/2010
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