=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649562901
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RACHEL RENEE FRIEND-LANTZ NP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/05/2011
-----------------------------------------------------
Last Update Date | 10/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6500 THAYER CTR
-----------------------------------------------------
City | OAKLAND
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21550-1130
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-334-5610
-----------------------------------------------------
Fax | 888-843-8457
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 654
-----------------------------------------------------
City | OAKLAND
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21550-4654
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-334-5610
-----------------------------------------------------
Fax | 888-843-8457
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | R174165
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | APRN68157-NP-C
-----------------------------------------------------
License Number State | WV
-----------------------------------------------------