Healthcare Provider Details

I. General information

NPI: 1629926001
Provider Name (Legal Business Name): MIKAELA ANNE ARIGO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 ORLEANS ST
BALTIMORE MD
21287-0010
US

IV. Provider business mailing address

802 S BROADWAY APT 2
BALTIMORE MD
21231-3482
US

V. Phone/Fax

Practice location:
  • Phone: 843-870-6484
  • Fax:
Mailing address:
  • Phone: 843-870-6484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR277536
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: