Individual
KELLY BARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-PMH
Contact information
Practice address
811 RITCHIE HWY STE 15, SEVERNA PARK, MD 21146-4130
(410) 995-9993
(410) 995-8702
Mailing address
811 RITCHIE HWY STE 15, SEVERNA PARK, MD 21146-4130
(410) 995-9993
(410) 995-8702
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R189658
MD
Other
Enumeration date
08/09/2018
Last updated
03/10/2023
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