Individual
MS. ANITA LOUISE BAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RN CSP
Contact information
Practice address
5700 KIRKWOOD HWY, WILMINGTON, DE 19808
(302) 224-1711
(302) 513-9967
Mailing address
1760 FORREST AVE, PARKVILLE, MD 21234-6116
(410) 302-5446
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R092697
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811037559
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/08/2007
Last updated
05/18/2018
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