Individual
BRENDA M CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 W BALTIMORE ST, BALTIMORE, MD 21223-1558
(410) 362-3000
Mailing address
106 UPMANOR RD, BALTIMORE, MD 21229-2845
(410) 624-0170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R107501
MD
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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