Healthcare Provider Details

I. General information

NPI: 1235472689
Provider Name (Legal Business Name): KRISTIN L. NORKO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2013
Last Update Date: 11/07/2022
Certification Date: 05/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 NORTH WOLFE STREET CMSC2-SUITE 116
BALTIMORE MD
21287
US

IV. Provider business mailing address

9910 FRANKLIN SQUARE DR STE 2110
BALTIMORE MD
21236-4902
US

V. Phone/Fax

Practice location:
  • Phone: 148-479-8777
  • Fax:
Mailing address:
  • Phone: 267-425-9200
  • Fax: 267-925-9299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR244837
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: