Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | R184639 | MD |
NPI | 1013156868 |
---|---|
Provider Name | Abbye Rae Solis |
First Address | Baltimore, MD 21264-4382 |
Second Address | Baltimore, MD 21287-0019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2009 |
Last Update Date | 03/10/2013 |