Individual
MS. MARY GORDON WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/NP, PMHNP-BC
Contact information
Practice address
976 SOLOMANS ISLAND ROAD, PRINCE FREDERICK, MD 20678
(410) 535-5400
Mailing address
975 SOLOMONS ISLAND RD N, PRINCE FREDERICK, MD 20678-3917
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN2274139
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R217581
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2274139
MA
Other
Enumeration date
12/07/2013
Last updated
09/29/2015
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