MS. CANDICE KOROLEVICH (NPI# 1497296271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497296271 |
Entity Type | Individual |
Full Name | MS. CANDICE KOROLEVICH |
Credential | CRNP |
Practice Address |
515 Fairmount Ave Towson MD 21286 |
Mailing Address |
6146 Baldridge Circle Frederick MD 21701 |
Practice Telephone | 4102961000 |
Mailing Telephone | 2405662597 |
Enumeration Date | 2017-03-14 |
Last Update Date | 2017-03-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R213327 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
515 FAIRMOUNT AVE |
City | TOWSON |
State | MD |
Zip Code | 21286 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013910454 | David S. Berliner | Internal Medicine | 515 Fairmount Ave, Ste 400, Towson, MD 21286-5466 | 2005-05-31 |
1598253403 | Courtney Alyse Mcguire | Occupational Therapy Assistant | 515 Fairmount Ave, Towson, MD 21286-5466 | 2018-04-25 |
1699280511 | Genesis Eldercare Physician Services LLC | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286 | 2017-12-14 |
1124572763 | Gps Physician Group of Texas Pllc | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286-5466 | 2016-08-11 |
1659737898 | Genesis Eldercare Physician Services LLC | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286-5466 | 2016-01-04 |
1184095267 | Genesis Eldercare Physician Services LLC | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286-5466 | 2015-10-14 |
1104297852 | Genesis Eldercare Physician Services LLC | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286-5466 | 2015-10-07 |
1982074001 | Clinical Associates P A | Clinic/Center | 515 Fairmount Ave, Ste 100a, Towson, MD 21286-5466 | 2015-10-01 |
1417344284 | Genesis Staffing Services, LLC | Community/Behavioral Health | 515 Fairmount Ave, 8th Floor, Towson, MD 21286-5466 | 2015-04-20 |
1699172387 | Lifebridge Multi-specialty. LLC | Dermatology | 515 Fairmount Ave, Towson, MD 21286-5466 | 2014-11-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
Find all providers in zip 21286 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700495215 | Samantha Scholz Dunn | Nurse Practitioner | 910 Cromwell Bridge Rd, Towson, MD 21286-3322 | 2020-07-30 |
1942836192 | Kelly Marie Canatella | Nurse Practitioner | 7600 Osler Dr Ste 305, Towson, MD 21204-7702 | 2020-03-19 |
1639715998 | Lisa M Katulis | Nurse Practitioner | 541 Brook Rd, Towson, MD 21286-5634 | 2019-11-21 |
1124507876 | Jordyn Elizabeth Jersey | Nurse Practitioner | 6701 N Charles St Ste 5105, Towson, MD 21204-6808 | 2018-08-13 |
1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
1003272840 | Karen Renee Vancamp | Nurse Practitioner | 901 Dulaney Valley Rd Ste 129, Towson, MD 21204-0614 | 2016-01-09 |
1255702742 | Esther Kim | Nurse Practitioner | 8600 La Salle Rd # 250, Towson, MD 21286-2001 | 2015-10-09 |
1518930593 | Amy Marie Luebehusen | Nurse Practitioner | 1238 Putty Hill Avenue, Target Clinic, Towson, MD 21286 | 2006-02-09 |
1750375366 | Deborah Ann Campbell | Nurse Practitioner | 1238 Putty Hill Ave, # 6, Towson, MD 21286-5844 | 2005-09-09 |
1962021766 | Alisha Gonzales | Nurse Practitioner | 6701 N Charles St, Towson, MD 21204-6808 | 2020-04-11 |
Find all providers in TOWSON |
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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.