Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | R100539 | MD |
Y | 363LN0000X | Nurse Practitioner - Neonatal | R100539 | MD |
N | 363LP1700X | Nurse Practitioner - Perinatal | R100539 | MD |
NPI | 1053425298 |
---|---|
Provider Name | Renee C Pabst |
First Address | Baltimore, MD 21202-2102 |
Second Address | Baltimore, MD 21202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 21/03/2016 |