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Individual

JEANNIE WAYTOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
11200 ROCKVILLE PIKE STE 205, NORTH BETHESDA, MD 20852-3103
(301) 770-3700
Mailing address
9500 WOODSTOCK CT, SILVER SPRING, MD 20910-1262
(813) 486-1577

Taxonomy

Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
R26361
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
R26361
MD

Other

Enumeration date
11/29/2023
Last updated
11/29/2023
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