Individual
DR. MARY GRACE RENFROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNP
Contact information
Practice address
7505 OSLER DR STE 502, TOWSON, MD 21204-7740
(410) 296-4210
(443) 276-5865
Mailing address
207 BLENHEIM RD, BALTIMORE, MD 21212-1704
(410) 812-5448
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R206254
MD
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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