Individual
MELANIE L ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
611 S CHARLES ST, CARRUTHERS CLINIC, BALTIMORE, MD 21230-3801
(410) 328-2293
(410) 554-6603
Mailing address
912 SAINT PAUL ST, APT 3R, BALTIMORE, MD 21202-2419
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R191085
MD
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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