DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KAETLYN ROSEMARIE WATERFIELD INTERN

MEDICARE: KAETLYN ROSEMARIE WATERFIELD INTERN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1326907049
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAETLYN ROSEMARIE WATERFIELD INTERN
Provider Business Mailing Address
First Line : 5022 CAMPBELL BLVD STE L-M
Second Line :
City : NOTTINGHAM
State : MD
Zip : 21236-4969
Country : US
Telephone Number : 443-442-1568
Fax Number : 443-442-1569
Provider Business Practice Location Address
First Line : 5022 CAMPBELL BLVD STE L-M
Second Line :
City : NOTTINGHAM
State : MD
Zip : 21236-4969
Country : US
Telephone Number : 443-442-1568
Fax Number : 443-442-1569
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

Similar Medicare Providers

1194312595 — MRS. MEGAN ELISABETH ZOLTOWSKI LCSW-C
Practice Location Address:
5022 CAMPBELL BLVD # 4969
NOTTINGHAM, MD
21236-4969
Practice Phone: 443-442-1568
Practice Fax:
1992714794 — DR. GRACE MONICA COTELINGAM
Practice Location Address:
5022 CAMPBELL BLVD STE L-M
NOTTINGHAM, MD
21236-4969
Practice Phone: 443-442-1568
Practice Fax: 443-442-1569
1649594557 — ASPIRE WELLNESS CENTER, INC.
Practice Location Address:
5022 CAMPBELL BLVD STE L-M
NOTTINGHAM, MD
21236-4969
Practice Phone: 443-442-1568
Practice Fax: 443-442-1569
1538462429 — MRS. SIMONE BLANCHARD LCPC, NCC, MA
Practice Location Address:
5022 CAMPBELL BLVD STE L-M
NOTTINGHAM, MD
21236-4969
Practice Phone: 443-442-1568
Practice Fax:
1144529488 — DR. ANSON LIU M.D.
Practice Location Address:
5022 CAMPBELL BLVD STE L-M
NOTTINGHAM, MD
21236-4969
Practice Phone: 443-442-1568
Practice Fax: 443-442-1569
1780971630 — ASPIRE WELLNESS CENTER, INC.
Practice Location Address:
5022 CAMPBELL BLVD STE L-M
NOTTINGHAM, MD
21236-4969
Practice Phone: 443-442-1568
Practice Fax: 443-442-1568

Directions to “ KAETLYN ROSEMARIE WATERFIELD INTERN” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.