Individual
KIMBERLY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNS
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(443) 890-8181
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1544
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
CS00109
MD
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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