Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | R100281 | MD |
NPI | 1083795363 |
---|---|
Provider Name | Mrs. Cynthia Ann Arnold |
First Address | Baltimore, MD 21263-1568 |
Second Address | Baltimore, MD 21204-6808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 01/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
KJ50-60757501 | GBMC CAREFIRST MD (01) | MD |
S1390015 | GBMC CAREFIRST REGIONAL (01) | MD |