Individual
BETHANY BACZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, CRNP
Contact information
Practice address
737 W LOMBARD ST, BALTIMORE, MD 21201-1009
(410) 706-3480
Mailing address
737 W LOMBARD ST, BALTIMORE, MD 21201-1009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R211401
MD
Other
Enumeration date
08/26/2024
Last updated
11/21/2024
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