Individual
MARY WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5755 CEDAR LN, HCGH NICU, COLUMBIA, MD 21044-2912
(410) 740-7557
Mailing address
PO BOX 64208, BALTIMORE, MD 21264-4208
(443) 828-0442
(703) 289-1414
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R063548
MD
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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