Provider Demographics
NPI:1013089010
Name:ARMSTRONG, KEBA MARIA (CRNP)
Entity type:Individual
Prefix:MISS
First Name:KEBA
Middle Name:MARIA
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KEBA
Other - Middle Name:
Other - Last Name:TROTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3900 LOCH RAVEN BLVD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2108
Mailing Address - Country:US
Mailing Address - Phone:410-605-7000
Mailing Address - Fax:
Practice Address - Street 1:3900 LOCH RAVEN BLVD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2108
Practice Address - Country:US
Practice Address - Phone:410-605-7620
Practice Address - Fax:410-209-8418
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR152824363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily