Watchemsprout Pediatrics Llc

NPI 1093000432 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1093000432
Enumeration Date 06/14/2011
Last Updated 06/14/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MARY T MARY
Position NURSE PRACTITIONER
Phone (410) 433-0801
Fax
Practice Location
1190 W NORTHERN PKWY
SUITE 101
BALTIMORE MD, 21210-1431, US
Phone (410) 433-0801
Fax
Business Location
1190 W NORTHERN PKWY
SUITE 101
BALTIMORE MD, 21210-1431, US
Phone (410) 433-0801
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State Maryland
License Number R146510
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According to our database, Watchemsprout Pediatrics Llc NPI is 1093000432, taxonomy code is 363LP0200X and license number is R146510, license state is located at Maryland. Watchemsprout Pediatrics Llc physically located at 1190 W Northern Pkwy, Baltimore MD, 21210-1431. NPI Number 1033115704 has the healthcare provider type.

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1093000432 NPI number is provided on an as is basis without warranty of any kind. 1093000432 is maintained by the National Plan & Provider Enumeration System. The contents of Watchemsprout Pediatrics Llc are for informational purposes only.