Individual
EKATERINA VERSACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4B NORTH AVE STE 302, BEL AIR, MD 21014-2304
(443) 819-3172
Mailing address
4B NORTH AVE STE 302, BEL AIR, MD 21014-2304
(443) 819-3172
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R209076
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R209076
BOARD OF NURSING STATE OF MD
MD
Enumeration date
05/21/2021
Last updated
05/21/2021
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