Individual
SELENA HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 N CHARLES ST STE 900, BALTIMORE, MD 21201-5987
(443) 300-6705
Mailing address
1800 S HANOVER ST APT 308, BALTIMORE, MD 21230-4984
(973) 666-1880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
412687
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0033560
OH
Other
Enumeration date
10/30/2019
Last updated
02/29/2024
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