NPI: 1053197343 · ELLICOTT CITY, MD 21043 · Certified Registered Nurse Anesthetist · NPI assigned 09/04/2023
| Authorized Official | WALKER, POPPY (PRACTICE ADMINISTRATOR) |
| NPI Enumeration Date | 09/04/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 15 | $378.36 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00142 | 15 | 13 | $378.36 |