Provider Demographics
NPI:1790285922
Name:BAPTISTE, ANAMARIA
Entity Type:Individual
Prefix:
First Name:ANAMARIA
Middle Name:
Last Name:BAPTISTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANAMARIA
Other - Middle Name:
Other - Last Name:BAPTISTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2621 UNIVERSITY BLVD W
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-1912
Mailing Address - Country:US
Mailing Address - Phone:301-588-2701
Mailing Address - Fax:240-242-3214
Practice Address - Street 1:2621 UNIVERSITY BLVD W
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-1912
Practice Address - Country:US
Practice Address - Phone:301-588-2701
Practice Address - Fax:240-242-3214
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-14
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2293221744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD300893736OtherCERTIFIED HAIR LOSS SPECIALIST