MEDICARE: JAEDA CRAMER PERFETTO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	R194801	MD

General Provider Information

NPI Number	:	1558844357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAEDA CRAMER PERFETTO

Provider Business Mailing Address
First Line	:	5383 STORM DRIFT
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2434
Country	:	US
Telephone Number	:	410-206-4316
Fax Number	:

Provider Business Practice Location Address
First Line	:	5383 STORM DRIFT
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2434
Country	:	US
Telephone Number	:	410-206-4316
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2018
Last Update Date	:	09/08/2018

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Directions to “ JAEDA CRAMER PERFETTO ” Practice Location

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