Individual
ANNA CRESTA IBANEZ DECENA-TRINIDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1016 DULANEY VALLEY RD, TOWSON, MD 21204-2702
(410) 286-1258
Mailing address
754 N HICKORY AVE STE B, BEL AIR, MD 21014-3042
(410) 286-1258
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R159963
MD
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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