Individual
KATHLEEN WYROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8601 VETERANS HWY, STE. 201, MILLERSVILLE, MD 21108-1547
(410) 923-1505
Mailing address
5 MARBURY RD, SEVERNA PARK, MD 21146-3705
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R166595
MD
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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