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NPI 1437376472 · live from the CMS NPI Registry

Carol Ann Libonati, APRN

Registered Nurse, Psych/Mental Health, Adult in Baltimore, MD. National Provider Identifier 1437376472, active.

NPI record

NPI1437376472 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, Psych/Mental Health, Adult 163WP0809X
Practice location810 Light St., Suite 103, Baltimore, MD 21230
Practice phone410-908-2099
Mailing address3801 Juniper Rd, Baltimore, MD 21218
EnumeratedApril 19, 2007
Last updatedJuly 8, 2007
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Psych/Mental Health, Adult primary163WP0809XR039456 (MD)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.