Individual
MS. DIANE KEEGAN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
22 S GREENE ST, ROOM N5E16, BALTIMORE, MD 21201-1544
(410) 328-2808
(410) 328-0571
Mailing address
22 S GREENE ST, ROOM N5E16, BALTIMORE, MD 21201-1544
(410) 328-2808
(410) 328-0571
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R091240
MD
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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