Provider Demographics
NPI:1073957353
Name:MARIA, AURORA A (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:AURORA
Middle Name:A
Last Name:MARIA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:AURORA
Other - Middle Name:T
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2401 W BELVEDERE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-0600
Mailing Address - Fax:410-601-8442
Practice Address - Street 1:2401 W BELVEDERE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5216
Practice Address - Country:US
Practice Address - Phone:410-601-6025
Practice Address - Fax:410-601-5835
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-17
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0005038363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant