Individual
MANDY K WEITSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
191 MAHOGANY DR, NORTH EAST, MD 21901-3650
(443) 652-0940
Mailing address
191 MAHOGANY DR, NORTH EAST, MD 21901-3650
(443) 652-0940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R232185
MD
363LF0000X
Family Nurse Practitioner
Primary
R232185
MD
Other
Enumeration date
10/28/2022
Last updated
05/04/2023
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