Individual
MS. JOSIE DANTZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5209 YORK RD, BALTIMORE, MD 21212-4225
(410) 417-5297
(410) 510-1375
Mailing address
5209 YORK RD, BALTIMORE, MD 21212-4225
(410) 417-5297
(410) 510-1375
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
R150037
MD
363L00000X
Nurse Practitioner
R150037
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MD
Enumeration date
11/30/2017
Last updated
05/06/2026
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