Individual
NICHOLAS WALDHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3000
Mailing address
606 N EUTAW ST APT E, BALTIMORE, MD 21201-4591
(410) 903-0151
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R199779
MD
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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