Individual
KELLY MARIE CANATELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
7600 OSLER DR STE 305, TOWSON, MD 21204-7702
(410) 433-4300
Mailing address
1741 GLENCOE RD, SPARKS GLENCOE, MD 21152-9344
(443) 414-9468
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R207603
MD
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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