Provider Demographics
NPI:1124359583
Name:ALBAN, ANNA (DNP, CRNP-PMH)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:ALBAN
Suffix:
Gender:F
Credentials:DNP, CRNP-PMH
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:RAUSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, CRNP-PMH
Mailing Address - Street 1:125 TEAPOT CT
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-1943
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1606 SAINT PAUL ST
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:MD
Practice Address - Zip Code:21074-2117
Practice Address - Country:US
Practice Address - Phone:410-941-8488
Practice Address - Fax:410-941-8994
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-26
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR175174363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD187757YA9AMedicare UPIN