Individual
MS. ANNARUTH KELLEY URBONOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1792 MERRITT BLVD, DUNDALK, MD 21222
(410) 284-1133
(410) 284-3371
Mailing address
1792 MERRITT BLVD, DUNDALK, MD 21222
(410) 284-1133
(410) 284-3371
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R159487
MD
363L00000X
Nurse Practitioner
Primary
R159487
MD
Other
Enumeration date
10/22/2007
Last updated
05/16/2016
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