Individual
MRS. ERIN MARTHA DESALVO
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) 328-6841
(410) 328-2578
Mailing address
PO BOX 62602, BALTIMORE, MD 21264-2602
(410) 328-6841
(410) 328-2578
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
R120571
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336314700
—
MD
01
—
S053-0083
CAREFIRST BC/BS
MD
Enumeration date
01/07/2008
Last updated
10/03/2013
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