NPI 1780041012 · live from the CMS NPI Registry
Healthwise
Registered Nurse, Psych/Mental Health, Adult in Baltimore, MD. National Provider Identifier 1780041012, active.
NPI record
| NPI | 1780041012 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 2620 N Calvert St, Baltimore, MD 21218 |
| Practice phone | 410-235-3854 |
| Mailing address | Po Box 19951, Baltimore, MD 21211 |
| Enumerated | January 18, 2016 |
| Last updated | January 18, 2016 |
| Authorized official | Mary-Rita Blute, Owner / Sole Proprietor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | R134703 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.