Healthcare Provider Details

I. General information

NPI: 1477105161
Provider Name (Legal Business Name): CHRISTINE N BARMOY CRNP-PMH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE N RENZULLI CRNP-PMH

II. Dates (important events)

Enumeration Date: 07/12/2019
Last Update Date: 08/28/2023
Certification Date: 04/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 BALTIMORE BLVD STE 142
WESTMINSTER MD
21157-7069
US

IV. Provider business mailing address

909 BALTIMORE BLVD STE 142
WESTMINSTER MD
21157-7069
US

V. Phone/Fax

Practice location:
  • Phone: 410-357-1429
  • Fax: 410-621-4768
Mailing address:
  • Phone: 410-357-1429
  • Fax: 410-621-4768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR238495
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR238495
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: