Individual provider · Type 1 NPI

Katherine Houglum, CRNP

Pediatric Nurse Practitioner · Baltimore, MD

NPI number 1417356486 Active

Practice location

200 E 33rd St, Suite 233
Baltimore, MD 21218-3322

Mailing address

6501 Copper Ridge Dr Apt T1
Baltimore, MD 21209-2349

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR177864 (MD)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1417356486

Katherine Houglum, CRNP's National Provider Identifier is 1417356486, issued on Aug 15, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Baltimore, MD. The record was last updated on Aug 15, 2014.