Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | R173401 | MD |
NPI | 1033697123 |
---|---|
Provider Name | Ms. Emily Keiper |
First Address | Cumberland, MD 21502-2533 |
Second Address | Baltimore, MD 21202-1681 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2018 |
Last Update Date | 01/08/2018 |