Healthcare Provider Details
I. General information
NPI: 1730956160
Provider Name (Legal Business Name): LINDSAY MURATORE
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/06/2023
Last Update Date: 09/26/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16 S EUTAW ST STE 300
BALTIMORE MD
21201-1698
US
IV. Provider business mailing address
16 S EUTAW ST
BALTIMORE MD
21201-1606
US
V. Phone/Fax
- Phone: 410-328-4323
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | R251498 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | R251498 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: