Individual
KATHARINE AMY PICCOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1447 YORK ROAD, SUITE 301, LUTHERVILLE, MD 21093-6022
(410) 252-9090
(410) 494-7064
Mailing address
1447 YORK RD, SUITE 301, LUTHERVILLE, MD 21093-6017
(410) 252-9090
(410) 494-7064
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R149558
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032
BLUE SHIELD FEP
—
05
—
012916000
—
MD
01
—
89201701
CAREFIRST
MD
Enumeration date
11/14/2006
Last updated
02/10/2016
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