Christine Marie Habersaat, CPNP | |
1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061-5864 | |
(410) 582-9434 | |
Not Available |
Full Name | Christine Marie Habersaat |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1405 Madison Park Dr Ste 1, Glen Burnie, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1023517869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0200X | Nurse Practitioner - Pediatrics | R206783 (Maryland) | Primary |
Entity Name | Lifebridge Suburban Physician Group Ii Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194170027 PECOS PAC ID: 3173808045 Enrollment ID: O20170316002018 |
Mailing Address | Practice Location Address |
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Christine Marie Habersaat, CPNP 520 Park Ave Apt 625, Baltimore, MD 21201-4783 Ph: (201) 280-6935 | Christine Marie Habersaat, CPNP 1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061-5864 Ph: (410) 582-9434 |
Ms. Docia Owusu, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7575 E Howard Rd, Glen Burnie, MD 21060 Phone: 410-768-8200 | |
Marlowe Ann Driscoll, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7671 Quarterfield Rd Ste 301, Glen Burnie, MD 21061 Phone: 855-527-7246 Fax: 866-229-5063 | |
Jesse Okonigbo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Warwickshire Ln, Apt E, Glen Burnie, MD 21061 Phone: 302-382-7248 | |
Mrs. Theresa Eileen Deveaux, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-553-8300 Fax: 410-553-8349 | |
Ms. Linda Jean Swallow, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Hospital Dr, 1st Floor, Glen Burnie, MD 21061 Phone: 410-552-8154 Fax: 410-553-8134 | |
Mary Bourbon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 Phone: 410-768-5050 |