Healthcare Provider Details

I. General information

NPI: 1942180658
Provider Name (Legal Business Name): DANIELLE DOROTHY MCGARRY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4C NORTH AVE STE 400
BEL AIR MD
21014-2333
US

IV. Provider business mailing address

1906 LAUREL BROOK RD
FALLSTON MD
21047-2133
US

V. Phone/Fax

Practice location:
  • Phone: 410-638-0239
  • Fax:
Mailing address:
  • Phone: 410-688-0246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberR233517
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: