Healthcare Provider Details
I. General information
NPI: 1093657066
Provider Name (Legal Business Name): DR. ANNA MELINA DANIELA EVA LUNA BACCHETTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 N WOLFE ST
BALTIMORE MD
21287-0005
US
IV. Provider business mailing address
211 E BIDDLE ST APT 3
BALTIMORE MD
21202-4263
US
V. Phone/Fax
- Phone: 443-226-0343
- Fax:
- Phone: 443-226-0343
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: