Individual
MRS. RACHEL TARBERT SOUTHWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-F, FNP-BC,FNP-C
Contact information
Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7000
Mailing address
6025 WEEKEND WAY, COLUMBIA, MD 21044-3135
(717) 781-5184
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R208085
MD
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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