Provider Demographics
NPI:1740465251
Name:BARAN, KATHRYN ELAINE (ACNP)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:ELAINE
Last Name:BARAN
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:ELAINE
Other - Last Name:SWANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACNP
Mailing Address - Street 1:26 N KENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-1241
Mailing Address - Country:US
Mailing Address - Phone:202-277-2841
Mailing Address - Fax:410-550-0816
Practice Address - Street 1:4940 EASTERN AVE
Practice Address - Street 2:WOUND HEALING CENTER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2735
Practice Address - Country:US
Practice Address - Phone:410-550-0315
Practice Address - Fax:410-550-0816
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC000428363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care