Mocca, Jaime

Mocca, Jaime is an individual health care provider with primary practice located at 2401 W Belvedere Ave , Baltimore MD 21215-5216. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mocca, Jaime can be contacted via phone (410) 601-5209.

Contact Information

Primary practice address
2401 W Belvedere Ave Baltimore MD 21215-5216
Phone: (410) 601-5209
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R149525 Maryland

Profile Details

NPI number 1699772038
LBN Legal business name Mocca, Jaime
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Nov 13th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699772038 NPPES
Maryland MEDICAID 404267100
Maryland Other 454MI518

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