Individual provider · Type 1 NPI
Malisha Dietta Dent, CRNP
Family Nurse Practitioner · Baltimore, MD
NPI number
1306614367
Active
Practice location
3107 Woodring Ave
Baltimore, MD 21234-7830
Mailing address
10672 Ashford Cir
Waldorf, MD 20603-3209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R201406 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1306614367
Malisha Dietta Dent, CRNP's National Provider Identifier is 1306614367, issued on Dec 19, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baltimore, MD. The record was last updated on Dec 19, 2023.