Individual
DEIRDRE WIEDERRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 955-5340
Mailing address
8616 MAYAONE ST, LAUREL, MD 20724-1992
(301) 466-9553
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R182184
MD
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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