Individual
CARLY HELEN MOMORELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(443) 869-0104
Mailing address
69 ENGLISH RUN CIR, SPARKS GLENCOE, MD 21152-8853
(443) 869-0104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R220221
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
R220221
MD
Other
Enumeration date
03/10/2023
Last updated
07/08/2023
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