Organization · Type 2 NPI
Western Maryland Pediatrics
Pediatric Nurse Practitioner · Lavale, MD
NPI number
1265256531
Active
Practice location
13308 Winchester Road
Lavale, MD 21502
Mailing address
13210 Growdenvale Drive NE
Cumberland, MD 21502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1265256531
Western Maryland Pediatrics's National Provider Identifier is 1265256531, issued on Nov 13, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lavale, MD. The record was last updated on Nov 13, 2024.