Individual
MRS. CARA NICOLE WILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, ADULT EMERGENCY DEPARTMENT, BALTIMORE, MD 21201-1544
(410) 328-9503
Mailing address
22 S GREENE ST, ADULT EMERGENCY DEPARTMENT, BALTIMORE, MD 21201-1544
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R178050
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013025828
ANCC CERT
MD
01
—
R178050
CRNP LICENSE
MD
Enumeration date
04/03/2014
Last updated
04/03/2014
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