Individual
MR. WILLIAM LINKROUM IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
5457 TWIN KNOLLS RD STE 100, COLUMBIA, MD 21045-3263
(443) 430-5370
Mailing address
1214 W LAKE AVE, BALTIMORE, MD 21210-1013
(804) 615-4308
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R220163
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2019
Last updated
07/09/2020
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