Uta Michelle Anderson, CNA

Individual provider Active NPI Nurse's Aide · Baltimore, MD

NPI 1780923870 · NPPES record last updated Feb 8, 2013

Key facts

NPI
1780923870
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
A00078002 (MD)
Practice address
1614 N Calvert St
Baltimore, MD 21202-2804
Phone
(410) 659-4062
NPI assigned
Feb 8, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A00078002MDMDHome Health Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X A00078002 MD
Nurse's Aide 376K00000X A00078002 MD Yes

Addresses

Primary practice location

1614 N Calvert St
Baltimore, MD 21202-2804

Mailing address

1614 N Calvert St
Baltimore, MD 21202-2804
Phone (410) 659-4062

Other providers in Baltimore, MD

All providers in Baltimore, MD · Nurse's Aide in Maryland

Sources for this page

Verify at the official NPI Registry.