Healthcare Provider Details
I. General information
NPI: 1952182131
Provider Name (Legal Business Name): KIMBERLY ERIN MAJEROWICZ FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/12/2023
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2800 SOLLERS POINT RD
DUNDALK MD
21222-4647
US
IV. Provider business mailing address
1108 WAMPLER RD
BALTIMORE MD
21220-1819
US
V. Phone/Fax
- Phone: 410-288-6226
- Fax:
- Phone: 410-499-2359
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | R228498 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: