Individual
KAILA RAE SPAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4C NORTH AVE, BEL AIR, MD 21014-2330
(410) 638-0239
Mailing address
141 MARBURTH AVE, TOWSON, MD 21286-1145
(443) 310-1995
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R220632
MD
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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