| Kristen Milio Nelms, CRNP | |
|
301 Hospital Dr, Glen Burnie, MD 21061-5803 | |
| (410) 553-8300 | |
| Not Available |
| Full Name | Kristen Milio Nelms |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 301 Hospital Dr, Glen Burnie, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124015300 | NPI | - | NPPES |
| F591-0025 | Other | DC | CARE FIRST DC |
| 6784 | Other | BRAVO HEALTH | |
| 643255-02 | Other | MD | CARE FIRST MARYLAND RENDERING NUMBER |
| 406267100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R152210 (Maryland) | Primary |
| Entity Name | Baltimore Washington Medical Center Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124016696 PECOS PAC ID: 7719879485 Enrollment ID: O20040326001160 |
| Entity Name | Maryland Medical Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245907252 PECOS PAC ID: 2163820507 Enrollment ID: O20211014002893 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Milio Nelms, CRNP 301 Hospital Dr, Glen Burnie, MD 21061-5803 Ph: (410) 553-8300 | Kristen Milio Nelms, CRNP 301 Hospital Dr, Glen Burnie, MD 21061-5803 Ph: (410) 553-8300 |
Ms. Docia Owusu, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7575 E Howard Rd, Glen Burnie, MD 21060 Phone: 410-768-8200 | |
Mrs. Theresa Eileen Deveaux, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-553-8300 Fax: 410-553-8349 | |
Ms. Linda Jean Swallow, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Hospital Dr, 1st Floor, Glen Burnie, MD 21061 Phone: 410-552-8154 Fax: 410-553-8134 | |
Mary Bourbon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 Phone: 410-768-5050 | |
Christine Marie Habersaat, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061 Phone: 410-582-9434 | |
Opemipo Doyin Ogeyingbo, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 464 Norvelle Ct, Glen Burnie, MD 21061 Phone: 301-592-7286 | |
Cierra N Vaughters, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 325 Hospital Dr Ste 106, Glen Burnie, MD 21061 Phone: 443-430-2998 |