Individual
NANCY SAMANTHA WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1111 WASHINGTON BLVD, BALTIMORE, MD 21230
(410) 467-6040
(410) 783-0569
Mailing address
2204 MARYLAND AVE, BALTIMORE, MD 21218
(410) 467-6040
(410) 735-5898
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R157499
MD
Other
Enumeration date
07/11/2006
Last updated
10/20/2011
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