Individual
MAIRE ELIZABETH WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
620 N CAROLINE ST, STD CLINIC, BALTIMORE, MD 21205-1839
(410) 396-9410
Mailing address
620 N CAROLINE ST, STD CLINIC, BALTIMORE, MD 21205-1839
(410) 396-9410
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R202765
MD
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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