Healthcare Provider Details

I. General information

NPI: 1265975858
Provider Name (Legal Business Name): DINAH PRICE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2016
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 WORTHINGTON BLVD STE 205
FREDERICK MD
21704-7019
US

IV. Provider business mailing address

3280 CENTENNIAL WAY APT 211
URBANA MD
21704-7459
US

V. Phone/Fax

Practice location:
  • Phone: 301-378-9590
  • Fax: 301-732-4878
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR170705
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR170705
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: