AIESHA J WACTOR

BALTIMORE, MD
NPI1366810038
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MD  R216317)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: MD  R216317)
Enumeration Date2015-09-10
Last Update Date2018-10-05
Business Address
AIESHA J WACTOR CRNP
600 N WOLFE ST CARNEGIE 136
BALTIMORE, MD 21287-0005
Phone number: 443-287-8288
Mailing Address
AIESHA J WACTOR CRNP
600 NORTH WOLFE STREET PHIPPS, SUITE 351
BALTIMORE, MD 21287
Phone number: 410-614-1620