Healthcare Provider Details

I. General information

NPI: 1033605621
Provider Name (Legal Business Name): RASHIDAH B CHISOLM CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RASHIDAH FRANCISCO

II. Dates (important events)

Enumeration Date: 07/06/2018
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 W MACPHAIL RD STE 206
BEL AIR MD
21014-4305
US

IV. Provider business mailing address

9342A ESPLANADE CT
OWINGS MILLS MD
21117-1293
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-6454
  • Fax:
Mailing address:
  • Phone: 570-332-7823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberR191658
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberR191658
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: