Individual
MITRA RANGARAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ANP-BC,
Contact information
Practice address
1830 E MONUMENT ST STE 426, BALTIMORE, MD 21287-0020
(410) 614-5388
Mailing address
1830 E MONUMENT ST STE 426, BALTIMORE, MD 21287-0020
(410) 614-5388
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R170452
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030846300
—
MD
Enumeration date
03/25/2009
Last updated
05/18/2010
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