LAURA ANN MASTELLA CRNP NPI 1093714438

NPI Information

NPI: 1093714438
Provider Name: LAURA ANN MASTELLA, CRNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
6701 N CHARLES ST
SUITE 4105
BALTIMORE, MD
ZIP 21204
Phone: (410) 821-2800
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Laura Ann Mastella, CRNP is an adult health nurse practitioner in Baltimore, MD. Laura Ann Mastella, CRNP NPI is 1093714438. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6701 N CHARLES ST
SUITE 4105
BALTIMORE, MD
ZIP 21204-808
Phone: (410) 821-2800
Fax: (410) 821-2804

The NPI 1093714438 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	R084663	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P02073	MEDICARE UPIN	MARYLAND
2	S73514	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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