Individual
BREANNA FOEHRKOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
15 W AYLESBURY RD, TIMONIUM, MD 21093-4142
(410) 575-1200
Mailing address
7018 GREENBANK RD, BALTIMORE, MD 21220-1111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R236453
MD
Other
Enumeration date
09/06/2025
Last updated
12/22/2025
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