Individual
REBECCA ELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6999 REISTERSTOWN RD STE 4, ATTENTION REBECCA ELLEN, BALTIMORE, MD 21215-1492
(305) 720-4743
Mailing address
6999 REISTERSTOWN RD STE 4, ATTENTION REBECCA ELLEN, BALTIMORE, MD 21215-1492
(305) 720-4743
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R222482
MD
Other
Enumeration date
01/17/2013
Last updated
03/19/2019
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