Organization
A PLATFORM TO HEALTHCARE
Active
Other names
A Platform to Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOSIE DANTZLER NURSE PRACTITIONER (CRNP)
(410) 417-5297
Entity
Organization
Contact information
Practice address
2701 E MONUMENT ST STE 102, BALTIMORE, MD 21205-2632
(410) 417-5297
Mailing address
325 AHERN DR, EDGEWOOD, MD 21040-3410
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161276000
—
MD
Enumeration date
06/16/2020
Last updated
06/16/2020
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