Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Carmen Susanne Licavoli, MSN, APRN-BC

Individual provider Adult Health Nurse Practitioner · NPI 1538199534

MS. Carmen Susanne Licavoli, MSN, APRN-BC is an Adult Health Nurse Practitioner in Baltimore, Maryland. Licensed in Maryland and Michigan. Registered with an NPI since 2006.

Licensed in
MD, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

10 N Greene St
Baltimore, MD 21201-1524
Phone: (410) 605-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence R189866 (MD)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 4704185653 (MI)

Record details

NPI number1538199534
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , APRN-BC
Sole proprietorNo
NPI enumeratedJuly 4, 2006
Last updated in NPPESOctober 2, 2012

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