Doctor Name: | MS. LINDSAY BREAM O'MEARA |
NPI Number: | 1003107525 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | R169119 |
Business Practice Address: | 22 S Greene St Suite S4d07 Baltimore, MD - 212011544 |
Business Phone Number: | 4103283365 |
Business Fax Number: | |
Mailing Address: | 22 S Greene St, Suite S4d07 BALTIMORE |
State: | MD |
Postal Code: | 212011544 |
Phone Number: | 4103283365 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2011 |
NPI Last Update Date: | 05/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | R169119 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |