Individual
HEATHER ELLEN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-3568
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1544
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R199048
MD
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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