Individual provider · Type 1 NPI
Modesta Vesonder, CRNP
Adult Health Nurse Practitioner · Glen Burnie, MD
NPI number
1245480557
Active
Practice location
7301 E Furnace Branch Rd
Glen Burnie, MD 21060-7059
Mailing address
10204 Balsamwood Dr
Laurel, MD 20708-3154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | R136583 (MD) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1245480557
Modesta Vesonder, CRNP's National Provider Identifier is 1245480557, issued on Sep 23, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Glen Burnie, MD. The record was last updated on Mar 2, 2026.