Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801461827 Individual Practitioner Female Practitioner

Malisa Ketzner , LPN

Licensed Practical Nurse • Baltimore, MD

Professional Overview & Biography Verified Profile Summary

Malisa Ketzner, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Baltimore, MD. Practice services are available at 8326 WINDSOR MILL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8326 Windsor Mill Rd

Baltimore, MD 212441112

Telephone 7347727704

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
69 Specialists

Practicing in Baltimore, MD (636 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-05-21
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MI 4703125119

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Secondary Practice Locations

6144 Trumpeter Ln

Ypsilanti, MI 481978729

Phone: 7347727704

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2021

Registered at 8326 WINDSOR MILL RD, BALTIMORE, MD 212441112 (Tel: 7347727704)

📍
Updated Business Mailing Address May 21, 2021

Registered at 6144 TRUMPETER LN, YPSILANTI, MI 481978729 (Tel: 7347727704)

👤
Provider Name / Credentials Updated May 21, 2021

Recorded as MALISA KETZNER, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2021

Licensed Practical Nurse (License #4703125119 in MI)

🟢
Initial NPI Registration & Enumeration May 21, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801461827
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2021
Last Update: May 21, 2021
Sole Proprietor: Yes

Mailing Address

6144 Trumpeter Ln

Ypsilanti, MI 481978729

Phone: 7347727704

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.