Individual
MISS MARY MACHARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.P
Contact information
Practice address
2401 W BELVERERE AVENUE, BALTIMORE, MD 21215
(410) 601-9000
Mailing address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R159618
MD
Other
Enumeration date
10/20/2010
Last updated
06/23/2015
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