Individual
MS. ANNA MARIE SISIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1700 REISTERSTOWN RD, STE 214, BALTIMORE, MD 21208-2920
(410) 356-4779
Mailing address
1700 REISTERSTOWN RD 214, BALTIMORE, MD 21208-2920
(443) 929-1478
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R151342
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412452900
—
MD
01
—
83-16519
EVERCARE
—
01
—
902126-02
CAREFIRST BCBS OF MD
—
01
—
9680-0061
CAREFIRST BCBS OF DC
—
Enumeration date
08/05/2006
Last updated
01/11/2016
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