Individual
KATELYNNE BROOKE GRACIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, RN
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 777-4000
Mailing address
608 FAIRMOUNT RD, LINTHICUM, MD 21090-2814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R236417
MD
367A00000X
Advanced Practice Midwife
Primary
R236417
MD
Other
Enumeration date
04/01/2024
Last updated
05/16/2024
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