Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | R161027 | MD |
NPI | 1043477953 |
---|---|
Provider Name | Ms. Carrie Ann Chamberlain-Penny |
First Address | Baltimore, MD 21287-0001 |
Second Address | Baltimore, MD 21287-0005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2008 |
Last Update Date | 21/11/2018 |