Healthcare Provider Details

I. General information

NPI: 1881183283
Provider Name (Legal Business Name): ROSANNA THY DINH CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2018
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 W REDWOOD ST STE 330
BALTIMORE MD
21201-7003
US

IV. Provider business mailing address

305 LANE CT
BEL AIR MD
21015-5017
US

V. Phone/Fax

Practice location:
  • Phone: 667-214-1565
  • Fax:
Mailing address:
  • Phone: 410-458-3018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR146357
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: