Healthcare Provider Details
I. General information
NPI: 1356076913
Provider Name (Legal Business Name): SARMA KLIMANIS GIVENS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/19/2022
Last Update Date: 09/08/2022
Certification Date: 09/08/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
345 SAINT PAUL ST
BALTIMORE MD
21202-2123
US
IV. Provider business mailing address
1504 RIVERSIDE AVE
BALTIMORE MD
21230-4625
US
V. Phone/Fax
- Phone: 410-332-9000
- Fax:
- Phone: 301-910-6201
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WC0200X |
| Taxonomy | Critical Care Medicine Registered Nurse |
| License Number | R200513 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | R200513 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: