Healthcare Provider Details

I. General information

NPI: 1255026357
Provider Name (Legal Business Name): KRISTOPHER VOIGT CRNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 MEDICAL PKWY
ANNAPOLIS MD
21401-3773
US

IV. Provider business mailing address

366 EAGLE HILL RD
PASADENA MD
21122-5304
US

V. Phone/Fax

Practice location:
  • Phone: 443-481-6962
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberRN1061840
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberR253533
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: