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Organization

BALTIMORE COUNTY HEALTH DEPARTMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. REGINA KIRWAN WARDWELL CRNP (NURSE PRACTITIONER)
(410) 887-4456
Entity
Organization

Contact information

Practice address
1740 TWIN SPRINGS RD, BALTIMORE, MD 21227-3526
(410) 887-4456
(410) 887-4417
Mailing address
4222 30TH ST, MOUNT RAINIER, MD 20712-1752
(301) 864-7895

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
R121844
MD

Other

Enumeration date
10/27/2006
Last updated
08/22/2020
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