# CHARLES COUNTY HEALTH DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053275149
- **Authorized official:** KAREN WALDBAUER (DEPUTY HEALTH OFFICER)
- **Authorized official phone:** (301) 609-6900

## Contact information

- **Practice address:** 4202 INDIAN HEAD HIGHWAY, INDIAN HEAD, MD 20640-0000
- **Practice address phone:** (301) 609-6900
- **Mailing address:** 4545 CRAIN HWY, WHITE PLAINS, MD 20695-3045
- **Mailing address phone:** (301) 609-6900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/12/2025
- **Last updated:** 02/20/2026