Healthcare Provider Details

I. General information

NPI: 1922775782
Provider Name (Legal Business Name): CHRISTINA M MEADOWS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2021
Last Update Date: 08/27/2021
Certification Date: 08/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 TWIN SPRINGS RD STE 218
BALTIMORE MD
21227-3551
US

IV. Provider business mailing address

1730 TWIN SPRINGS RD STE 218
BALTIMORE MD
21227-3551
US

V. Phone/Fax

Practice location:
  • Phone: 866-578-7802
  • Fax: 443-574-6633
Mailing address:
  • Phone: 866-578-7802
  • Fax: 443-574-6633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License NumberR244573
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: