ELLA HISTAND RN
NPI 1619415502
Registered Nurse - Case Management in Baltimore, MD
Active since February 10, 2017
1040 PARK AVE STE 200, BALTIMORE, MD 21201(443) 738-0300(443) 738-0301 Get Directions Write a Review
About Ella Histand Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLA HISTAND RN (NPI 1619415502) is an individual case management provider in Baltimore, Maryland, licensed in Maryland (R201305) and active in the NPI registry since February 2017.
NPPES Registry Identity
NPI1619415502
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameELLA HISTANDCredential: RN
Location Address1040 PARK AVE STE 200Baltimore, MD 21201-5634
Mailing Address1040 Park Ave Ste 200Baltimore, MD 21201-5634 · (443) 738-0300 · Fax (443) 738-0301
Phone(443) 738-0300
Fax(443) 738-0301
Sole ProprietorNo
Enumeration DateFebruary 10, 2017
✔ NPI 1619415502 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in MD · R201305
1040 PARK AVE STE 200, Baltimore, MD 21201
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Federally Qualified Health Center (FQHC))
1040 PARK AVE STE 200
BALTIMORE, MD 21201
BALTIMORE, MD 21201
Internal Medicine (Infectious Disease)
1040 PARK AVE STE 200
BALTIMORE, MD 21201
BALTIMORE, MD 21201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619415502, enumerated as an "individual" on February 10, 2017.
The provider is located at 1040 PARK AVE STE 200 BALTIMORE, MD 21201 and the phone number is (443) 738-0300.
Registered Nurse with taxonomy code 163WC0400X and a focus in Case Management.
