Individual provider · Type 1 NPI
Abigail Ruth Self, CRNP
Pediatric Nurse Practitioner · Baltimore, MD
NPI number
1841773389
Active
Practice location
1800 Orleans St
Baltimore, MD 21287-0010
Mailing address
9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | AC002494 (MD) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1841773389
Abigail Ruth Self, CRNP's National Provider Identifier is 1841773389, issued on Sep 11, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Baltimore, MD. The record was last updated on Jan 5, 2019.