Individual
MS. MARY CLARE GODINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3700 FLEET ST, STE 200, BALTIMORE, MD 21224-4200
(410) 558-4900
(410) 522-2070
Mailing address
3501 SINCLAIR LN, BALTIMORE, MD 21213-2029
(410) 732-8800
(410) 534-2392
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0001227118
VA
363LF0000X
Family Nurse Practitioner
Primary
R200346
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376751500
—
MD
Enumeration date
03/27/2012
Last updated
08/17/2016
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