Individual
LAURA WEDERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
194 THOMAS JOHNSON DR, FREDERICK, MD 21702-4679
(240) 215-6370
Mailing address
2461 BRADDOCK RD, MOUNT AIRY, MD 21771-8801
(434) 340-5962
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R185929
MD
Other
Enumeration date
10/31/2014
Last updated
02/14/2020
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