Healthcare Provider Details

I. General information

NPI: 1225803901
Provider Name (Legal Business Name): JULIE ANNE KINHART CRNP-PMH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. JULIE ANNE RATHEL

II. Dates (important events)

Enumeration Date: 11/22/2023
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 FRANKLIN AVE UNIT 7
BERLIN MD
21811-1358
US

IV. Provider business mailing address

617 FRANKLIN AVE UNIT 7
BERLIN MD
21811-1358
US

V. Phone/Fax

Practice location:
  • Phone: 443-979-8902
  • Fax: 443-313-6948
Mailing address:
  • Phone: 443-979-8902
  • Fax: 443-313-6948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR186104
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: