Doctor Name: | DR. ANNA ALBAN |
NPI Number: | 1124359583 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP, CRNP-PMH |
License Number: | R175174 |
Business Practice Address: | 125 Teapot Ct Reisterstown, MD - 211361943 |
Business Phone Number: | 4107957270 |
Business Fax Number: | |
Mailing Address: | 125 Teapot Ct, REISTERSTOWN |
State: | MD |
Postal Code: | 211361943 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/26/2010 |
NPI Last Update Date: | 02/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | R175174 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |