Healthcare Provider Details

I. General information

NPI: 1275404881
Provider Name (Legal Business Name): RENAE DANIELLE LYNN HOTT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 10/24/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720A ROCKLEDGE DR
BETHESDA MD
20817-1888
US

IV. Provider business mailing address

3413 TREMBLAY CIR UNIT 3
FORT MEADE MD
20755-2578
US

V. Phone/Fax

Practice location:
  • Phone: 240-694-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR201712
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: