Individual
ANNE MARIE WEICHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(240) 723-2420
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(240) 723-2420
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
R111182
MD
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
R111182
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339824200
—
MD
01
—
S062-0508
CAREFIRST
MD
Enumeration date
05/24/2012
Last updated
04/09/2015
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