Individual
KACIE MARENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1447 YORK RD STE 506, LUTHERVILLE, MD 21093-6022
(443) 841-7550
Mailing address
712 GLENBROOK DR, MIDDLETOWN, MD 21769-7752
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R240167
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R240617
MD
Other
Enumeration date
10/08/2020
Last updated
02/07/2022
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