VICTORIA ANN NALLS (NPI# 1861622565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861622565 |
| Entity Type | Individual |
| Full Name | VICTORIA ANN NALLS |
| Credential | GNP-BC |
| Practice Address |
6095 Marshalee Dr Elkridge MD 21075-6053 |
| Mailing Address |
6095 Marshalee Drive Elkridge MD 21075 |
| Practice Telephone | 7039155557 |
| Practice Fax Number | 4103793590 |
| Mailing Telephone | 7039155557 |
| Mailing Fax Number | 4103793590 |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2012-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AC000941 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
0024169140 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6095 MARSHALEE DR |
| City | ELKRIDGE |
| State | MD |
| Zip Code | 21075-6053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519963 | Mary Spangler | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2005-06-24 |
| 1275077083 | Susane Njomo | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2016-12-13 |
| 1083158042 | Kristopher Derbyshire | Nurse Practitioner | 6095 Marshalee Dr, United Health Group/optum, Elkridge, MD 21075-6053 | 2016-12-10 |
| 1023550308 | Angela Erin Knotts | Nurse Practitioner | 6095 Marshalee Dr, Suite 100, Elkridge, MD 21075-6053 | 2016-11-17 |
| 1235684325 | Traci Stokes | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2016-08-18 |
| 1164879904 | Illya Payne | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2016-05-23 |
| 1922461227 | Olasunmbo I Feyisetan | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075 | 2016-04-04 |
| 1457661449 | Jennifer Macadam | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2010-10-08 |
| 1366772964 | Jakarta A Blakeney | Nurse Practitioner | 6095 Marshalee Dr, Ste 100, Elkridge, MD 21075-6053 | 2010-01-04 |
| 1043540834 | Regina Clare Birch | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2009-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174043640 | Howard County Health Department | Clinic/Center | 6925 Old Waterloo Road, Hchd Deep Run Elementary School-based Wellness Center, Elkridge, MD 21075 | 2017-06-26 |
| 1023485539 | Cvs | Clinic/Center | 6480 Old Waterloo Road, Elkridge, MD 21075 | 2015-09-01 |
| 1063762417 | Mid-atlantic Allergy & Asthma | Clinic/Center | 8182 Lark Brown Road, Elkridge, MD 21075 | 2012-09-13 |
| 1447522925 | Alberta Osei Agyeman | Social Worker | 7274 Elkridge Crossing Way, Elkridge, MD 21075 | 2012-01-31 |
| 1588970552 | Mira M Patel | Pharmacist | 7270 Montgomery Road, Rite Aid Pharmacy, Elkridge, MD 21075 | 2010-08-27 |
| 1710298112 | Emily Jeanne Marti | Nurse Practitioner | 6095 Marshalee Drive, Elkridge, MD 21075 | 2010-06-30 |
| 1538352612 | Costco Wholesale Corp | Pharmacy | 6675 Marie Curie Dr, Elkridge, MD 21075 | 2007-08-22 |
| 1225250707 | Orthosport Physical Therapy of Md | Clinic/Center | 8174 Lark Brown Road, Suite 101, Elkridge, MD 21075 | 2007-05-03 |
| 1164643086 | Linda M. Jones-laper | Dentist | 6865 Deerpath Rd Suite 100, Elkridge, MD 21075 | 2007-05-01 |
| 1487756813 | Robert E Skillman Jr. | Dentist | 5921 Old Washington Rd, Elkridge, MD 21075 | 2006-09-05 |
| Find all providers in zip 21075 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975508 | Marlene Joan Margerum | Nurse Practitioner | 6052 Augustine Ave, Elkridge, MD 21075-5351 | 2020-09-06 |
| 1871833756 | He Yu | Nurse Practitioner | 6095 Marshalee Dr Ste 100, Elkridge, MD 21075-6082 | 2013-02-28 |
| 1235469081 | Martina A Pugh | Nurse Practitioner | 6514 Meadowridge Rd, Elkridge, MD 21075-6115 | 2009-12-29 |
| 1184873895 | Christi Ann Dieterich | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2008-09-17 |
| 1831348853 | Debrah Miller | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2008-09-15 |
| 1720113327 | Margaret Eleen Corcoran | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2007-02-22 |
| 1871644039 | Regina Marie Miller | Nurse Practitioner | 6095 Marshalee Dr, Evercare 1st Floor, Elkridge, MD 21075-6053 | 2007-01-15 |
| 1639229370 | Melanie Short Letzer | Nurse Practitioner | 6085 Marshalee Dr, Suite 110, Elkridge, MD 21075-6023 | 2007-01-12 |
| 1881744548 | Laura Marder Sorkin | Nurse Practitioner | 6085 Marshalee Dr, Suite 110, Elkridge, MD 21075-6023 | 2007-01-12 |
| 1467502237 | Alyson Elizabeth Timlin | Nurse Practitioner | 6085 Marshalee Dr, Suite 110 Md030 1000, Elkridge, MD 21075-6023 | 2007-01-11 |
| Find all providers in ELKRIDGE | ||||
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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.