Most Relevant Information
Provider Data
| NPI Number: | 1003286493 |
| Provider Name: | DANA AYBOUT ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LW0102X |
| Specialty: | Nurse Practitioner |
| License Number: | F138521 |
Most Important Dates
| Enumeration Date: | 09/29/2015 |
| Last Updated: | 08/28/2024 |
Provider Practice Location
4940 EASTERN AVENUE
BALTIMORE
MD
212641009
Practice Location Phone/Fax
| Phone: | 4105505568 |
| Fax: | 4105500470 |
Provider Mailing Location
6201 GREENLEIGH AVE
MIDDLE RIVER
MD
212202004
Provider Mailing Phone/Fax
| Phone: | 4109336423 |
| Fax: | 4105004266 |