| Doctor Name: | KRISTA LUDD |
| NPI Number: | 1629435177 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN |
| License Number: | N85428 |
| Business Practice Address: | 201 Ballard Ave Middle River, MD - 212203656 |
| Business Phone Number: | 4109371481 |
| Business Fax Number: | |
| Mailing Address: | 9700 Decatur Rd, MIDDLE RIVER |
| State: | MD |
| Postal Code: | 212203775 |
| Phone Number: | 4109371481 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2016 |
| NPI Last Update Date: | 01/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | N85428 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |