Individual
MS. LINDA DIANE UPDEGRAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
6701 N CHARLES ST, DEPT OF NEONATAL MEDICINE, BALTIMORE, MD 21204-6808
(443) 849-2792
Mailing address
PO BOX 631568, BALTIMORE, MD 21263-1568
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R080528
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KJ50GB/607579-01
CAREFIRST MARYLAND
MD
01
—
S139/0023
CAREFIRST REGIONAL
MD
Enumeration date
09/20/2006
Last updated
07/13/2007
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