Individual
MRS. KATHERINE A BRAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0100
Mailing address
21611 KEENEY RD, FREELAND, MD 21053-9654
(443) 957-5127
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R207752
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
642173YVE
MEDICARE
MD
Enumeration date
01/09/2018
Last updated
07/05/2023
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