NPI 1457036758 · live from the CMS NPI Registry
Holly Alesbury, PA-C
Physician Assistant in Baltimore, MD. National Provider Identifier 1457036758, active.
NPI record
| NPI | 1457036758 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 4940 Eastern Ave Ste A150, Baltimore, MD 21224 |
| Practice phone | 202-660-2953 |
| Mailing address | 6201 Greenleigh Ave, Middle River, MD 21220 |
| Enumerated | June 15, 2023 |
| Last updated | February 1, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | — |
| Physician Assistant primary | 363A00000X | C08936 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.