Demetrides, Susan
Demetrides, Susan is an individual health care provider with primary practice located at 707 N Broadway , Baltimore MD 21205-1832. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Demetrides, Susan can be contacted via phone (443) 923-9200.Contact Information
Primary practice address
707 N Broadway
Baltimore MD 21205-1832
Phone: (443) 923-9200
Fax: (443) 923-9405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R065937 | Maryland |
Profile Details
| NPI number | 1356498786 |
|---|---|
| LBN Legal business name | Demetrides, Susan |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356498786 | NPPES |
| Maryland | Other | 61114301 | CARE FIRST BC BS |
Popular Providers
-
Mebane-Ashton, Dionne
2401 Liberty Heights Ave , Baltimore MD 21215-8019 -
Knight, Margaret
22 S Greene St , Baltimore MD 21201-1544 -
Jorgensen, Jane
200 Font Hill Ave Health Suite, Baltimore MD 21223-2703 -
Rochelle, Maureen
2700 Seamon Ave , Baltimore MD 21225-1117 -
Younger, M. Elizabeth M.
Johns Hopkins Hospital Cmsc 1102 600 North Wolfe Street, Baltimore MD 21287 -
Duke, Malinda Daniel
22 S Greene St Rm N6W84, Baltimore MD 21201-1544 -
Desell, Melinda L
601 N Caroline St , Baltimore MD 21287-0006 -
Kandel, Judith Amy
421 Fallsway , Baltimore MD 21202-4800