Healthcare Provider Details

I. General information

NPI: 1093642274
Provider Name (Legal Business Name): LORRAINE NEWBORN-PALMER DNP, MS, ACNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6717 RICHARDSON RD
GWYNN OAK MD
21207-4236
US

IV. Provider business mailing address

6717 RICHARDSON RD
GWYNN OAK MD
21207-4236
US

V. Phone/Fax

Practice location:
  • Phone: 410-419-2371
  • Fax:
Mailing address:
  • Phone: 410-419-2371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberCS00205
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code364SN0800X
TaxonomyNeuroscience Clinical Nurse Specialist
License NumberCS00205
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberR073795
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code163WN0800X
TaxonomyNeuroscience Registered Nurse
License NumberR073795
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: