Individual
MRS. KRISTA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
29 S PACA ST, BALTIMORE, MD 21201-1771
(410) 328-6792
(410) 328-8726
Mailing address
PO BOX 64380, BALTIMORE, MD 21264-4380
(410) 328-6792
(410) 328-8726
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R146338
MD
363LA2200X
Adult Health Nurse Practitioner
SP008493
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4101201-00
—
MD
01
—
882775-01
BC/BS
MD
Enumeration date
06/27/2005
Last updated
09/09/2008
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