Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | R194254 | MD |
NPI | 1477166965 |
---|---|
Provider Name | Rebekah Hartland |
First Address | Baltimore, MD 21224-1250 |
Second Address | Baltimore, MD 21201-1590 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2020 |
Last Update Date | 09/10/2020 |