Individual
ANNA LYN RENDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
600 N WOLFE ST, OSLER 600, BALTIMORE, MD 21287-0005
(410) 502-1072
(410) 502-1070
Mailing address
6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 21220-2004
(410) 933-6421
(410) 502-1070
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R167239
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R167239
LICENSE
MD
Enumeration date
04/23/2013
Last updated
02/08/2021
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