Individual
MS. CAROLINE FIDYK PRATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
401 N. BROADWAY, BALTIMOE, MD 21231
(410) 502-8010
Mailing address
401 N. BROADWAY, BALTIMOE, MD 21231
(410) 502-8010
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R149679
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419806900
—
MD
Enumeration date
06/16/2009
Last updated
07/23/2010
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