GRETCHEN NETTLE


Address: 1714 Joan Ave, Loch Ridge Shopping Center, Baltimore, MD 21234-3717
Phone: 4106659775

GRETCHEN NETTLE (NPI# 1366875890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366875890
Entity Type Individual
Full Name GRETCHEN NETTLE
Practice Address 1714 Joan Ave
Loch Ridge Shopping Center
Baltimore
MD 21234-3717
Practice Telephone 4106659775
Enumeration Date 2013-08-20
Last Update Date 2013-08-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R197296 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1714 JOAN AVE
LOCH RIDGE SHOPPING CENTER
City BALTIMORE
State MD
Zip Code 21234-3717

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1750996930 Ashley Tyisha Sydnor Nurse Practitioner 2202 Park Ave Unit 302, Baltimore, MD 21217-4868 2020-09-14
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1457996688 Lashawn S Scott Nurse Practitioner 301 Saint Paul Pl Ste 409, Baltimore, MD 21202-2165 2019-11-12
1740825041 Rosemary Lokko Nurse Practitioner 2431 Jefferson St, Baltimore, MD 21205-2543 2019-11-10
1881237972 Jennifer Lillian Mothershed Nurse Practitioner 9101 Franklin Square Dr Ste 212, Baltimore, MD 21237-3948 2019-10-22
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Competitor

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City BALTIMORE
Zip Code 21234

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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