Healthcare Provider Details

I. General information

NPI: 1336009224
Provider Name (Legal Business Name): ANN MOORHEAD ANESTHESIA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MILFORD ST
SALISBURY MD
21804-6952
US

IV. Provider business mailing address

101 MILFORD ST
SALISBURY MD
21804-6952
US

V. Phone/Fax

Practice location:
  • Phone: 800-222-1335
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: ANN MARIE PARRA
Title or Position: OWNER/AUTHORIZED OFFICIAL
Credential: CRNA
Phone: 410-382-9089