Healthcare Provider Details

I. General information

NPI: 1871423814
Provider Name (Legal Business Name): NINATHENP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 LITTLE PATUXENT PKWY STE 400
COLUMBIA MD
21044-3563
US

IV. Provider business mailing address

10500 LITTLE PATUXENT PKWY STE 400
COLUMBIA MD
21044-3563
US

V. Phone/Fax

Practice location:
  • Phone: 410-855-5821
  • Fax: 410-630-5696
Mailing address:
  • Phone: 410-855-5821
  • Fax: 410-630-5696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NALINI HARRY
Title or Position: OWNER
Credential: NP
Phone: 410-855-5821