Individual provider · Type 1 NPI
Keith Joseph Dewald, CRNP
Acute Care Nurse Practitioner · Sparks Glencoe, MD
NPI number
1831001429
Active
Practice location
6 Old Forge Ct
Sparks Glencoe, MD 21152-8850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | R195611 (MD) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1831001429
Keith Joseph Dewald, CRNP's National Provider Identifier is 1831001429, issued on Sep 19, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Sparks Glencoe, MD. The record was last updated on Sep 19, 2026.