Individual provider · Type 1 NPI
Aiesha J. Wactor, CRNP
Adult Health Nurse Practitioner · Baltimore, MD
NPI number
1366810038
Active
Practice location
600 N Wolfe St, Carnegie 136
Baltimore, MD 21287-0005
Mailing address
600 North Wolfe Street, Phipps, Suite 351
Baltimore, MD 21287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R216317 (MD) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | R216317 (MD) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1366810038
Aiesha J. Wactor, CRNP's National Provider Identifier is 1366810038, issued on Sep 10, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Baltimore, MD. The record was last updated on Oct 5, 2018.