Individual provider · Type 1 NPI
Susan Ellsberry, C.R.N.A.
Specialist · Baltimore, MD
NPI number
1710984356
Active
Practice location
2610 E Baltimore St
Baltimore, MD 21224-1129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | R093801 (MD) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1710984356
Susan Ellsberry, C.R.N.A.'s National Provider Identifier is 1710984356, issued on Jun 28, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Baltimore, MD. The record was last updated on Jun 6, 2012.