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Individual

VALERIE IRONSIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.P.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-8964
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 955-5000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R155606
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
403084200
MD
Enumeration date
05/27/2006
Last updated
05/19/2026
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