Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | SP014985 | PA |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | R218181 | MD |
N | 363LP2300X | Nurse Practitioner - Primary Care | R218181 | MD |
N | 363LP2300X | Nurse Practitioner - Primary Care | SP014985 | PA |
NPI | 1053799635 |
---|---|
Provider Name | Anisha Hampton |
First Address | Baltimore, MD 21224-5750 |
Second Address | Baltimore, MD 21224-5750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2015 |
Last Update Date | 04/08/2021 |