Healthcare Provider Details

I. General information

NPI: 1407372402
Provider Name (Legal Business Name): CARITA CARRINGTON MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2017
Last Update Date: 09/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E FAYETTE ST
BALTIMORE MD
21202-4721
US

IV. Provider business mailing address

1200 E FAYETTE ST
BALTIMORE MD
21202-4721
US

V. Phone/Fax

Practice location:
  • Phone: 410-332-9356
  • Fax:
Mailing address:
  • Phone: 410-396-9067
  • Fax: 410-783-5884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR205769
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: