Individual provider · Type 1 NPI
Nettie Hantske Widgeon, MSN, FNP, FNE A/P
Nurse Practitioner · Berlin, MD
Practice location
314 Franklin Ave Ste 302
Berlin, MD 21811-1238
Mailing address
10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Other practice locations
- 9733 Healthway Dr, Berlin, MD 21811-1155 · (410) 641-1100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R187388 (MD) |
| Nurse Practitioner Primary | 363L00000X | R187388 (MD) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
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About NPI 1801595848
Nettie Hantske Widgeon, MSN, FNP, FNE A/P's National Provider Identifier is 1801595848, issued on Feb 28, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Berlin, MD. The record was last updated on Mar 12, 2025.