Healthcare Provider Details

I. General information

NPI: 1811996895
Provider Name (Legal Business Name): NORA RICHARDSON-STEWART NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 OLD COURT RD STE 4A
PIKESVILLE MD
21208-3901
US

IV. Provider business mailing address

4722 EIDERDOWN CT
OWINGS MILLS MD
21117-6222
US

V. Phone/Fax

Practice location:
  • Phone: 443-898-6622
  • Fax:
Mailing address:
  • Phone: 410-402-7666
  • Fax: 410-402-7198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR115187
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: