Healthcare Provider Details

I. General information

NPI: 1780134734
Provider Name (Legal Business Name): JOHNS HOPKINS CHILDREN'S CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2016
Last Update Date: 10/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 ORLEANS ST SUITE 7311
BALTIMORE MD
21287-0010
US

IV. Provider business mailing address

1800 ORLEANS ST SUITE 7311
BALTIMORE MD
21287-0010
US

V. Phone/Fax

Practice location:
  • Phone: 443-287-3486
  • Fax:
Mailing address:
  • Phone: 443-287-3486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number
License Number State

VIII. Authorized Official

Name: MS. CAITLIN E TAWNEY
Title or Position: PEDIATRIC NURSE PRACTITIONER
Credential: CPNP-AC
Phone: 410-371-3051