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Organization

A PLATFORM TO HEALTHCARE

Active
Other names
A Platform to Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOSIE DANTZLER PMHNP-BC (OWNER/ OPERATOR)
(410) 417-5297
Entity
Organization

Contact information

Practice address
5209 YORK RD, BALTIMORE, MD 21212-4225
(410) 417-5297
(410) 510-1375
Mailing address
325 AHERN DR, EDGEWOOD, MD 21040-3410
(410) 417-5297
(410) 510-1375

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
161276000
MD
Enumeration date
03/07/2019
Last updated
03/06/2026
About Stedi
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  • Eligibility checks
  • EDI platform