Healthcare Provider Details

I. General information

NPI: 1255081733
Provider Name (Legal Business Name): MARIA HORTENCIA ESCALANTE ROMERO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIA ESCALANTE

II. Dates (important events)

Enumeration Date: 03/27/2022
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 FRANKLIN SQUARE DR
BALTIMORE MD
21237-3901
US

IV. Provider business mailing address

10400 LITTLE PATUXENT PKWY STE 240
COLUMBIA MD
21044-3540
US

V. Phone/Fax

Practice location:
  • Phone: 443-777-7000
  • Fax:
Mailing address:
  • Phone: 972-715-5000
  • Fax: 407-667-4338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAC005370
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024184715
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: