NPI Code Details Logo

NPI 1669264040

NPI 1669264040 : RUTVI PATEL CRNP-PMH : COLUMBIA, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1669264040
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    RUTVI PATEL CRNP-PMH
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/20/2025
-----------------------------------------------------
    Last Update Date     |    07/02/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8890 MCGAW RD STE 350-360 
-----------------------------------------------------
    City                 |    COLUMBIA
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21045-4743
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    301-317-6575
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1246 FRANCES PL 
-----------------------------------------------------
    City                 |    CATONSVILLE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21228-1790
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    R250327
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.