Healthcare Provider Details

I. General information

NPI: 1962050104
Provider Name (Legal Business Name): CALANDRA HARDING NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2019
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WEST RD STE 300
TOWSON MD
21204-2370
US

IV. Provider business mailing address

100 WEST RD STE 300
TOWSON MD
21204-2370
US

V. Phone/Fax

Practice location:
  • Phone: 443-323-1747
  • Fax: 443-645-5812
Mailing address:
  • Phone: 443-323-1747
  • Fax: 443-645-5812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR201670
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: