Individual
CAROLINE MOUGHON WETTENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9891 BROKEN LAND PKWY STE 100, COLUMBIA, MD 21046-1156
(410) 730-6000
Mailing address
9891 BROKEN LAND PKWY STE 100, COLUMBIA, MD 21046-1156
(410) 730-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R220003
MD
Other
Enumeration date
07/05/2018
Last updated
08/20/2025
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