GRETCHEN NETTLE
NPI 1366875890
Nurse Practitioner - Family in Baltimore, MD
Active since August 20, 2013
1714 JOAN AVE, LOCH RIDGE SHOPPING CENTER, BALTIMORE, MD 21234(410) 665-9775 Get Directions Write a Review
About Gretchen Nettle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRETCHEN NETTLE (NPI 1366875890) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R197296) and active in the NPI registry since August 2013.
NPPES Registry Identity
NPI1366875890
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRETCHEN NETTLE
Location Address1714 JOAN AVE, LOCH RIDGE SHOPPING CENTERBaltimore, MD 21234-3717
Mailing Address1714 Joan Ave, Loch Ridge Shopping CenterBaltimore, MD 21234-3717
Phone(410) 665-9775
Sole ProprietorNo
Enumeration DateAugust 20, 2013
✔ NPI 1366875890 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R197296
1714 JOAN AVE, Baltimore, MD 21234
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Women's Health)
1714 JOAN AVE
PARKVILLE, MD 21234
PARKVILLE, MD 21234
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366875890, enumerated as an "individual" on August 20, 2013.
The provider is located at 1714 JOAN AVE LOCH RIDGE SHOPPING CENTER BALTIMORE, MD 21234 and the phone number is (410) 665-9775.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.