Healthcare Provider Details

I. General information

NPI: 1578284626
Provider Name (Legal Business Name): RAMANPREET KAUR FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2022
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9106 PHILADELPHIA RD STE 304
BALTIMORE MD
21237-4343
US

IV. Provider business mailing address

9106 PHILADELPHIA RD STE 304
BALTIMORE MD
21237-4343
US

V. Phone/Fax

Practice location:
  • Phone: 410-238-3262
  • Fax: 410-238-3265
Mailing address:
  • Phone: 410-238-3262
  • Fax: 410-238-3265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR258935
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR258935
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: