Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | R212152 | MD |
NPI | 1043820301 |
---|---|
Provider Name | Nicole Troiani |
First Address | Baltimore, MD 21224-3738 |
Second Address | Baltimore, MD 21224-3738 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2020 |
Last Update Date | 03/08/2020 |