A PLATFORM TO HEALTHCARE


Address: 2701 E Monument St Ste 102, Baltimore, MD 21205-2632
Phone: 4104175297

A PLATFORM TO HEALTHCARE (NPI# 1922623891) 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) 1922623891
Entity Type Organization
Organization Name A PLATFORM TO HEALTHCARE
Practice Address 2701 E Monument St Ste 102
Baltimore
MD 21205-2632
Mailing Address 325 Ahern Dr
Edgewood
MD 21040-3410
Practice Telephone 4104175297
Enumeration Date 2020-06-16
Last Update Date 2020-06-16
Authorized Official Name MS. JOSIE DANTZLER (CRNP)
Authorized Official Telephone 4104175297
Authorized Official Credential NURSE PRACTITION
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MD 161276000 05

Other Provider/Organization Names

Other Name Type Code
A Platform to Healthcare Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1043778160 A Platform To Healthcare Nurse Practitioner 325 Ahern Dr, Edgewood, MD 21040-3410 2019-03-07

Office Location

Street Address 2701 E MONUMENT ST STE 102
City BALTIMORE
State MD
Zip Code 21205-2632

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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...

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1497317853 Wakeelat A Adeoye Nurse Practitioner 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 2019-07-05
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Competitor

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City BALTIMORE
Zip Code 21205

Improve Information

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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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