Healthcare Provider Details

I. General information

NPI: 1235611856
Provider Name (Legal Business Name): ELIZABETH S KARTAL CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH S TUNKLE CNM

II. Dates (important events)

Enumeration Date: 08/30/2018
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 W REDWOOD ST STE 500
BALTIMORE MD
21201-7001
US

IV. Provider business mailing address

250 W PRATT ST STE 880
BALTIMORE MD
21201-6829
US

V. Phone/Fax

Practice location:
  • Phone: 667-214-1300
  • Fax: 410-328-3589
Mailing address:
  • Phone: 667-214-1302
  • Fax: 410-328-1669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberR202746
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: