Provider Demographics
NPI:1083814586
Name:CAROTHERS, FRANCES HUMPHREY (CRNP)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:HUMPHREY
Last Name:CAROTHERS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 N BROADWAY
Mailing Address - Street 2:SUITE 421
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-1536
Mailing Address - Country:US
Mailing Address - Phone:410-955-6211
Mailing Address - Fax:410-955-1617
Practice Address - Street 1:98 N BROADWAY
Practice Address - Street 2:SUITE 421
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-1536
Practice Address - Country:US
Practice Address - Phone:410-955-6211
Practice Address - Fax:410-955-1617
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR072836363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDMH0504488OtherDEA