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WACHMIDE LABRANCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001250488
VA
163W00000X
Registered Nurse
AC002106
MD
367500000X
Certified Registered Nurse Anesthetist
0024171950
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
AC002106
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760806921
VA
Enumeration date
02/08/2014
Last updated
12/15/2023
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