Individual
RACHEL HISIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 955-5000
Mailing address
1786 HARVEST DR, FREDERICK, MD 21702-3036
(912) 467-3500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R239909
MD
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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