Individual provider · Type 1 NPI
Christine Marie Habersaat, CPNP
Pediatric Nurse Practitioner · Glen Burnie, MD
NPI number
1023517869
Active
Practice location
1405 Madison Park Dr Ste 1
Glen Burnie, MD 21061-5864
Mailing address
520 Park Ave Apt 625
Baltimore, MD 21201-4783
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | R206783 (MD) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1023517869
Christine Marie Habersaat, CPNP's National Provider Identifier is 1023517869, issued on Feb 7, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Glen Burnie, MD. The record was last updated on May 31, 2019.