Healthcare Provider Details

I. General information

NPI: 1316598097
Provider Name (Legal Business Name): MEREDITH ZOLTICK AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2019
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2117 N CHARLES ST
BALTIMORE MD
21218-5763
US

IV. Provider business mailing address

906 H ST NE
WASHINGTON DC
20002-3742
US

V. Phone/Fax

Practice location:
  • Phone: 443-869-6867
  • Fax:
Mailing address:
  • Phone: 202-431-5694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberR220247
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR220247
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: