Healthcare Provider Details

I. General information

NPI: 1467378430
Provider Name (Legal Business Name): DANIEL KIRK HUSLAGE MSPH, BSN, RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 W BELVEDERE AVE
BALTIMORE MD
21215-5216
US

IV. Provider business mailing address

2401 W BELVEDERE AVE
BALTIMORE MD
21215-5216
US

V. Phone/Fax

Practice location:
  • Phone: 919-604-0499
  • Fax:
Mailing address:
  • Phone: 919-604-0499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0600X
TaxonomyInfection Control Registered Nurse
License NumberR260760
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: