MEDICARE: KATHERINE LIBERTINI SERIO NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R205386	MD

General Provider Information

NPI Number	:	1427614353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE LIBERTINI SERIO NP

Provider Business Mailing Address
First Line	:	220 RODGERS FORGE RD APT D
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21212-1323
Country	:	US
Telephone Number	:	443-610-8917
Fax Number	:

Provider Business Practice Location Address
First Line	:	1734 YORK RD
Second Line	:
City	:	TIMONIUM
State	:	MD
Zip	:	21093-5606
Country	:	US
Telephone Number	:	410-252-2273
Fax Number	:	443-275-5941

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2019
Last Update Date	:	11/25/2025

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