Individual
THERESA ANNE MEDICUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
Mailing address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R183562
MD
Other
Enumeration date
12/04/2015
Last updated
01/10/2025
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