Healthcare Provider Details

I. General information

NPI: 1548712748
Provider Name (Legal Business Name): JULIA BERLIN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA HARDING

II. Dates (important events)

Enumeration Date: 11/04/2016
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3407 WILKENS AVE STE 300
BALTIMORE MD
21229-5222
US

IV. Provider business mailing address

3407 WILKENS AVE STE 300
BALTIMORE MD
21229-5222
US

V. Phone/Fax

Practice location:
  • Phone: 410-644-5111
  • Fax:
Mailing address:
  • Phone: 410-644-5111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR176543
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: