Healthcare Provider Details

I. General information

NPI: 1629592738
Provider Name (Legal Business Name): INFINITE MEDICAL EXPRESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2017
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 PULASKI HWY STE W
EDGEWOOD MD
21040-1398
US

IV. Provider business mailing address

1401 PULASKI HWY STE W
EDGEWOOD MD
21040-1398
US

V. Phone/Fax

Practice location:
  • Phone: 410-671-6900
  • Fax:
Mailing address:
  • Phone: 410-671-6900
  • Fax: 410-671-6901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RENEE ANTONETTE FLETCHER
Title or Position: FAMILY NURSE PRACTITIONER
Credential: CRNP FNP-BC
Phone: 410-671-6900