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Ms. Carmen Susanne Licavoli, MSN,APRN-BC
Adult Health Nurse Practitioner in Baltimore, Maryland
NPI 1538199534

Carmen Susanne Licavoli is an Adult Health Nurse Practitioner based in Annapolis, MD and is specialized in Adult Health. Carmen Susanne Licavoli practices in Baltimore, MD and has the professional credentials of MSN,APRN-BC. The NPI Number for Carmen Susanne Licavoli is 1538199534 and holds a License No. 4704185653 (Maryland).

The current practice location address for Carmen Susanne Licavoli is 10 N Greene St, Baltimore, MD and can be reached out via phone at 410-605-7000.

Location: 10 N Greene St, Baltimore, MD, 21401-6327
person
Provider Profile Details
NPI Number
1538199534
Provider Name
Carmen Susanne Licavoli
Credential
MSN,APRN-BC
Provider Entity Type
Individual
Gender
Female
Address
10 N Greene St, Baltimore, MD, 21401-6327
Phone Number
410-605-7000
Fax Number
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10 N Greene St
City
State
Zip
21201-1524
Phone Number
410-605-7000
Fax Number
person
Provider Business Mailing Address Details
Address
10 N Greene St
City
State
Zip
21201-1524
Phone Number
410-605-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
4704185653 (Michigan)
Definition
Definition to come...
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