Individual
MRS. BRENDA M ZOLTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7310 RITCHIE HWY, SUITE 516, GLEN BURNIE, MD 21061-3065
(410) 761-7305
(410) 761-7387
Mailing address
7310 RITCHIE HWY, SUITE 516, GLEN BURNIE, MD 21061-3065
(410) 761-7305
(410) 761-7387
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R101670
MD
Other
Enumeration date
12/28/2006
Last updated
03/09/2009
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