Heather Leilania Carlson
Nurse Practitioner - Gerontology
351 W Camden St
Baltimore
, Maryland 21201-7912
Heather Leilania Carlson
Nurse Practitioner - Gerontology
351 W Camden St
Baltimore
, Maryland 21201-7912
(410) 625-2200
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Heather Leilania Carlson
- 351 W Camden St
- Baltimore, MD
- Zip : 21201-7912
- Phone : (410) 625-2200
Second Address
- Heather Leilania Carlson
- 351 W Camden St
- Baltimore, MD
- Zip : 21201-7912
- Phone : (410) 625-2200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | RN191800 | GA |
National Provider Identifier
| NPI | 1043616311 |
|---|---|
| Provider Name | Heather Leilania Carlson |
| First Address | Baltimore, MD 21201-7912 |
| Second Address | Baltimore, MD 21201-7912 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2014 |
| Last Update Date | 13/11/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.