Prosperlyn Alieh
Individual provider Active NPI Child & Adolescent Psychiatric/Mental Health Registered Nurse · Randallstown, MD
NPI 1780314971 · NPPES record last updated Jul 18, 2022
Key facts
- NPI
- 1780314971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X
- License
- R209845 (MD)
- Practice address
- 5401 Old Court Rd
Randallstown, MD 21133-5103 - Phone
- (410) 521-2200
- NPI assigned
- Jun 13, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | R209845 | MD | Yes |
Addresses
Primary practice location
5401 Old Court Rd
Randallstown, MD 21133-5103
Mailing address
5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (301) 254-4664
Other providers in Randallstown, MD
- Patrick Ajapmou
- Andrea Ajogun
- Tunde Akinsawe
- Abisola Omowumi Alade
- Alan Lefkowitz, M.D.
- Bukola Temitope Almaroof
- Rana Alqusairi
- Alyssa Cain LLC
- Ambrose Young in Home Non-Medical Services Dba Comforcare
- Amity Health Care Services, Inc.
All providers in Randallstown, MD · Child & Adolescent Psychiatric/Mental Health Registered Nurse in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.