Healthcare Provider Details

I. General information

NPI: 1336073451
Provider Name (Legal Business Name): ALANA ROSE KELLY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALANA ROSE MORGANTE

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4660 WILKENS AVE STE 100
BALTIMORE MD
21229-4899
US

IV. Provider business mailing address

4660 WILKENS AVE STE 100
BALTIMORE MD
21229-4899
US

V. Phone/Fax

Practice location:
  • Phone: 410-247-0782
  • Fax: 866-251-5693
Mailing address:
  • Phone: 410-247-0782
  • Fax: 866-251-5693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR244247
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: