Individual
ELIZABETH MARIE ANSELMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
115 BALTIMORE ST STE 200, CUMBERLAND, MD 21502-2301
(301) 723-4965
(301) 723-4983
Mailing address
115 BALTIMORE ST STE 200, PO BOX 1571, CUMBERLAND, MD 21502-2301
(301) 723-4965
(301) 723-4983
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R185809
MD
367500000X
Certified Registered Nurse Anesthetist
RN546462
PA
Other
Enumeration date
08/25/2010
Last updated
09/27/2012
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