Healthcare Provider Details

I. General information

NPI: 1003838202
Provider Name (Legal Business Name): LINDA R ZEITZOFF CRPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 W BELVEDERE AVENUE, SUITE 205 MORTON MOWER, M.D., MOB
BALTIMORE MD
21215
US

IV. Provider business mailing address

2401 W BELVEDERE AVE ATTN: CREDENTIALING
BALTIMORE MD
21215-5216
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-8331
  • Fax: 410-601-8859
Mailing address:
  • Phone: 410-601-5524
  • Fax: 410-601-8946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR101314
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: