Individual
MRS. VANESSA WALDREP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
11908 DARNESTOWN RD STE H, NORTH POTOMAC, MD 20878-2295
(301) 990-6333
Mailing address
11908 DARNESTOWN RD STE H, NORTH POTOMAC, MD 20878-2295
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AC000987
MD
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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