Individual
MISS KATHERINE NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3455 WILKENS AVE, SUITE 100, BALTIMORE, MD 21229-5213
(410) 646-0331
(410) 644-6182
Mailing address
2515 BOSTON ST, UNIT P 1, BALTIMORE, MD 21224-4739
(410) 967-7950
(410) 342-2655
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R069863
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
553121704
—
MD
Enumeration date
09/20/2005
Last updated
01/05/2012
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