Healthcare Provider Details

I. General information

NPI: 1629907357
Provider Name (Legal Business Name): LOUISE OPEL
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 N BROADWAY
BALTIMORE MD
21205-2020
US

IV. Provider business mailing address

550 N BROADWAY
BALTIMORE MD
21205-2020
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR228650
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: