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Individual

PROF. MARGARET F BALACKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN-CRNP/PMH

Contact information

Practice address
1407 YORK RD, SUITE 309, LUTHERVILLE, MD 21093-6097
(410) 825-2281
(410) 825-0757
Mailing address
803 LATCHMERE CT, UNIT 103, ANNAPOLIS, MD 21401-8268
(410) 825-2281
(410) 825-0757

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R061828
MD
364S00000X
Clinical Nurse Specialist
R061828
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N51941
CDS
MD
01
R061828
LICENSE
MD
Enumeration date
07/18/2006
Last updated
03/07/2023
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