Individual
MARY ANN ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8322 BELLONA AVE, TOWSON, MD 21204-2012
(410) 825-6945
(410) 825-8974
Mailing address
505 TERRAPIN TER, JOPPA, MD 21085-5412
(410) 538-5449
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R129721
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407191300
—
MD
Enumeration date
07/14/2006
Last updated
11/20/2009
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