Individual
CARINE GOUETSO NDEKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-ADULT
Contact information
Practice address
200 HOSPITAL DR # 300, GLEN BURNIE, MD 21061-5884
(410) 837-2050
Mailing address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
NP1024593
DC
363LP2300X
Primary Care Nurse Practitioner
Primary
R196845
MD
Other
Enumeration date
09/25/2018
Last updated
03/11/2026
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