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1750279691

NPI Code Detail

MEDICARE: CHARLES WALTER WARD NURSE PRACTITIONER

MEDICARE: CHARLES WALTER WARD NURSE PRACTITIONER

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
1	363L00000X	Nurse Practitioner	LP-0010917	DE
2	363LC0200X	Critical Care Medicine Nurse Practitioner	LP-0010917	DE
3	363L00000X	Nurse Practitioner	R244850	MD

General Provider Information

NPI Number	:	1750279691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES WALTER WARD NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	201 DEFENSE HWY STE 205
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-7096
Country	:	US
Telephone Number	:	855-527-7246
Fax Number	:	866-229-5063

Provider Business Practice Location Address
First Line	:	6503 DEER POINTE DR STE A
Second Line	:
City	:	SALISBURY
State	:	MD
Zip	:	21804-1674
Country	:	US
Telephone Number	:	855-527-7246
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2025
Last Update Date	:	06/03/2026

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Directions to “ CHARLES WALTER WARD NURSE PRACTITIONER” 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.

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