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 1:3100 WYMAN PARK DR
Mailing Address - Street 2:EAST BALTIMORE MEDICAL CENTER
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-2803
Mailing Address - Country:US
Mailing Address - Phone:410-338-3100
Mailing Address - Fax:
Practice Address - Street 1:1000 E EAGER STREET
Practice Address - Street 2:EAST BALTIMORE MEDICAL CENTER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202
Practice Address - Country:US
Practice Address - Phone:410-522-9800
Practice Address - Fax:410-522-5136
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR152824363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily