Individual
ABIGAIL RUTH SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(415) 955-2000
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AC002494
MD
Other
Enumeration date
09/11/2018
Last updated
01/05/2019
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