CONSTANCE NOLL


Address: 501 S Union Ave, Havre De Grace, MD 21078-3409
Phone: 4108438800

CONSTANCE NOLL (NPI# 1013372705) 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) 1013372705
Entity Type Individual
Full Name CONSTANCE NOLL
Credential CRNP
Practice Address 501 S Union Ave
Havre De Grace
MD 21078-3409
Practice Telephone 4108438800
Mailing Telephone 4108438800
Enumeration Date 2015-12-22
Last Update Date 2017-05-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner R053391 MD Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R053391 MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 673000100 05

Office Location

Street Address 501 S UNION AVE
City HAVRE DE GRACE
State MD
Zip Code 21078-3409

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770589533 Harford Memorial Hospital General Acute Care Hospital 501 S Union Ave, Havre De Grace, MD 21078-3409 2005-06-24
1588286520 Antonio W Herold Nurse Practitioner 501 S Union Ave, Havre De Grace, MD 21078-3409 2020-05-13
1689199259 Katharine Sewell Nurse Practitioner 501 S Union Ave, Havre De Grace, MD 21078-3409 2017-08-04
1073991469 Laura Nengel Pharmacist 501 S Union Ave, Havre De Grace, MD 21078-3409 2015-05-18
1780087213 Audrey Forka Nurse Practitioner 501 S Union Ave, Behavioral Health Unit, Havre De Grace, MD 21078-3409 2014-09-29
1679973382 Brandon Phillips Nurse Practitioner 501 S Union Ave, Havre De Grace, MD 21078-3409 2014-08-29
1619230539 Pamela J Llewellyn Social Worker 501 S Union Ave, Havre De Grace, MD 21078-3409 2012-06-18
1467734434 David J Kitchen Nurse Practitioner 501 S Union Ave, Wound Care Clinic, Havre De Grace, MD 21078-3409 2011-09-15
1114206620 Sara Marie Hickey Nurse Practitioner 501 S Union Ave, Havre De Grace, MD 21078-3409 2011-08-15
1689861874 Deborah Lee Simon Pharmacist 501 S Union Ave, Havre De Grace, MD 21078-3409 2007-10-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265076327 Shannon Mona Lane Social Worker [email protected], 609 Peace Chance Dr., Havre De Grace, MD 21078 2019-11-01
1134699788 Amanda Graziano Speech-Language Pathologist 201 Oakington Rd, Havre De Grace, MD 21078 2018-11-27
1689111551 Barbara Rene-darbouze Counselor 400 Lewis Street, Havre De Grace, MD 21078 2017-01-30
1598136459 Proud and Positive Treatment Services Inc. Clinic/Center 602 Revolution St., Suite 103, Havre De Grace, MD 21078 2015-10-16
1427426337 Leodegario Ayson Najera Sr. Surgery 121 Flying Ebony Place, Havre De Grace, MD 21078 2015-09-09
1669857538 Connie Dausch Counselor 100 St John Street, Suite 1, Havre De Grace, MD 21078 2015-07-21
1659777225 Doris Stacy Fair Counselor 501 South Union Ave., Harford Memorial Hospital, Havre De Grace, MD 21078 2014-11-10
1871995860 Faith Ku Pharmacist 1000 Pulaski Highway, Havre De Grace, MD 21078 2014-09-22
1376889121 Lorien Life Center Harford II, Inc. Skilled Nursing Facility 1501 Blenheim Farm Lane, Havre De Grace, MD 21078 2012-12-26
1396000790 Pdom Havre De Grace Dentist 2021 Pulaski Highway Units A and B, Havre De Grace, MD 21078 2012-07-11
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588286520 Antonio W Herold Nurse Practitioner 501 S Union Ave, Havre De Grace, MD 21078-3409 2020-05-13
1689199259 Katharine Sewell Nurse Practitioner 501 S Union Ave, Havre De Grace, MD 21078-3409 2017-08-04
1043768906 Carla Dimiris Nurse Practitioner 400 Lewis St, Havre De Grace, MD 21078-3405 2016-09-20
1780087213 Audrey Forka Nurse Practitioner 501 S Union Ave, Behavioral Health Unit, Havre De Grace, MD 21078-3409 2014-09-29
1679973382 Brandon Phillips Nurse Practitioner 501 S Union Ave, Havre De Grace, MD 21078-3409 2014-08-29

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1245839653 Itoro Abatai Nurse Practitioner 9620 Maxwell Rd, Middle River, MD 21220-3792 2020-10-19
1992304372 Catherine Koskei Nurse Practitioner 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 2020-10-18
1194323857 Meliora Davies Nurse Practitioner 206 Settlers Way, Upper Marlboro, MD 20774-5770 2020-10-14
1932707171 David Mwangi Nurse Practitioner 27 Blue Spire Cir, Middle River, MD 21220-1743 2020-10-10
1750989042 Osereme Nora Agboifo Nurse Practitioner 200 Ejoppa Rd Suite 106, Townson, MD 21286 2020-10-09
1639776446 Serenity Heart Healthcare, LLC Nurse Practitioner 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 2020-10-05
1689281529 Premier Psychiatry, LLC Nurse Practitioner 10601 Virginia Ave, Cockeysville, MD 21030-2315 2020-09-24
1407462559 Mem Scepter Home & Behavioral Nurse Practitioner 14104 Dawn Whistle Way, Bowie, MD 20721-1304 2020-09-23
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Competitor

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City HAVRE DE GRACE
Zip Code 21078

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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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