Individual
MS. KRISTIN ANDREA DE VRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4222 WOLF HILL DR, HAMPSTEAD, MD 21074-2009
(443) 744-1913
(443) 291-6680
Mailing address
4222 WOLF HILL DRIVE, HAMPSTEAD, MD 21074
(443) 744-1913
(443) 291-6680
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R192070
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R192070
MBON
MD
Enumeration date
03/29/2013
Last updated
03/29/2013
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