Individual
BROOKE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1909 THAMES ST STE 101, BALTIMORE, MD 21231-3661
(443) 885-9644
Mailing address
1440 CROW HAVEN LN, HUNTINGTOWN, MD 20639-9790
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R228466
MD
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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