Healthcare Provider Details

I. General information

NPI: 1548362320
Provider Name (Legal Business Name): KRISTINE BATTY RNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 HOSPITAL DR STE 312
GLEN BURNIE MD
21061-6906
US

IV. Provider business mailing address

9910 FRANKLIN SQUARE DR # 2110
BALTIMORE MD
21236-4902
US

V. Phone/Fax

Practice location:
  • Phone: 410-787-4291
  • Fax:
Mailing address:
  • Phone: 401-861-2233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNPP37191
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR240065
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: