Healthcare Provider Details

I. General information

NPI: 1114081403
Provider Name (Legal Business Name): BARBARA ANN NADEN-BLUCHER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 03/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 KERNAN DR
BALTIMORE MD
21207-6665
US

IV. Provider business mailing address

6 WALNUT POND CT
MIDDLETOWN MD
21769-7962
US

V. Phone/Fax

Practice location:
  • Phone: 410-615-2421
  • Fax:
Mailing address:
  • Phone: 301-371-3299
  • Fax: 301-327-6952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberR125360
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: