Healthcare Provider Details

I. General information

NPI: 1891195509
Provider Name (Legal Business Name): JULIE ROBIN SOLOMON CRNP, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2014
Last Update Date: 07/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SISTER PIERRE DR STE 403
TOWSON MD
21204
US

IV. Provider business mailing address

120 SISTER PIERRE DR STE 403
TOWSON MD
21204-7536
US

V. Phone/Fax

Practice location:
  • Phone: 108-236-4084
  • Fax: 443-279-0537
Mailing address:
  • Phone: 410-823-6408
  • Fax: 443-279-0537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberR187572
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR187572
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP014143
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: