Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | R050549 | MD |
NPI | 1003809153 |
---|---|
Provider Name | Ms. Susan Elizabeth Appling |
First Address | Baltimore, MD 21202-2001 |
Second Address | Baltimore, MD 21202-2001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 08/07/2007 |