NPI 1104130616 · live from the CMS NPI Registry
Craig Howard Fabian, RN
Registered Nurse, General Practice in Baltimore, MD. National Provider Identifier 1104130616, active.
NPI record
| NPI | 1104130616 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 2711 Ailsa Ave, Baltimore, MD 21214 |
| Practice phone | 443-900-2922 |
| Enumerated | July 27, 2010 |
| Last updated | October 16, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | R203034 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.