MEDICARE: MS. TONI T DURHAM CRNP

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	363LG0600X	Gerontology Nurse Practitioner	R062761	MD

General Provider Information

NPI Number	:	1750384038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TONI T DURHAM CRNP

Provider Business Mailing Address
First Line	:	1836 GLEN RIDGE RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21234-5214
Country	:	US
Telephone Number	:	410-532-4232
Fax Number	:	410-532-4623

Provider Business Practice Location Address
First Line	:	5601 LOCH RAVEN BLVD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21239-2905
Country	:	US
Telephone Number	:	410-532-4232
Fax Number	:	410-532-4623

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

1316940588 — PAUL BYRON FOWLER M.D.
Practice Location Address:

5601 LOCH RAVEN BLVD
BALTIMORE, MD
21239-2905

Practice Phone: 410-532-5258
Practice Fax: 410-532-5276

1629070883 — DRS. HAHN AND PADGETT
Practice Location Address:

5601 LOCH RAVEN BLVD , STE 103
BALTIMORE, MD
21239-2905

Practice Phone: 410-532-3991
Practice Fax: 410-532-3998

1811991318 — DR. JEFFREY EDWARD KREMEN M.D.
Practice Location Address:

5601 LOCH RAVEN BLVD , STE 303
BALTIMORE, MD
21239-2905

Practice Phone: 410-435-4700
Practice Fax:

Directions to “ MS. TONI T DURHAM CRNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.