Individual
MRS. CHARNITA MIKELLE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
200 N WOLFE ST, BALTIMORE, MD 21287-0001
(410) 955-5712
(410) 614-7911
Mailing address
3940 QUEENS LACE ST, PIKESVILLE, MD 21208-2357
(410) 496-8399
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R136801
MD
Other
Enumeration date
02/23/2007
Last updated
04/07/2010
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