Individual
BRENDA SMITH NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
600 N WOLFE ST, HALSTED 600, BALTIMORE, MD 21287-0005
(410) 502-7727
(443) 287-0379
Mailing address
600 N WOLFE ST, HALSTED 600, BALTIMORE, MD 21287-0005
(410) 502-7727
(443) 287-0379
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R148006
MD
Other
Enumeration date
06/19/2008
Last updated
01/12/2012
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