Healthcare Provider Details

I. General information

NPI: 1124828090
Provider Name (Legal Business Name): CHRISTINA DINATALE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 OLD WESTMINSTER PIKE
WESTMINSTER MD
21157-6267
US

IV. Provider business mailing address

535 OLD WESTMINSTER PIKE
WESTMINSTER MD
21157-6267
US

V. Phone/Fax

Practice location:
  • Phone: 410-602-7782
  • Fax:
Mailing address:
  • Phone: 410-602-7872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR247080
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: