Individual
KRISTIE R DAVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-4770
Mailing address
6535 N. CHARLES ST., BALTIMORE, MD 21204-1544
(443) 849-4270
(443) 849-4280
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R168131
MD
Other
Enumeration date
11/17/2011
Last updated
09/10/2014
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