MEDICARE: MS. ANNA MARIE DEROOSE CRNP, CPNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	R089564	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437121969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNA MARIE DEROOSE CRNP, CPNP

Provider Business Mailing Address
First Line	:	1792 MERRITT BLVD
Second Line	:
City	:	DUNDALK
State	:	MD
Zip	:	21222
Country	:	US
Telephone Number	:	410-284-1133
Fax Number	:	410-284-3371

Provider Business Practice Location Address
First Line	:	1792 MERRITT BLVD
Second Line	:
City	:	DUNDALK
State	:	MD
Zip	:	21222
Country	:	US
Telephone Number	:	410-284-1133
Fax Number	:	410-284-3371

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	04/20/2016

Similar Medicare Providers

1275535452 — MS. BETH ANN WADDELL-VANDEGEIJN CRNP
Practice Location Address:

2112 DUNDALK AVE
BALTIMORE, MD
21222-3714

Practice Phone: 410-288-4800
Practice Fax: 410-288-1424

1275505703 — GLINDA FLORENDO PAC
Practice Location Address:

2112 DUNDALK AVE
BALTIMORE, MD
21222

Practice Phone: 410-284-1133
Practice Fax: 410-284-3371

1073586525 — DANIEL ROBERT SARKO MD
Practice Location Address:

2112 DUNDALK AVE
BALTIMORE, MD
21222-3714

Practice Phone: 410-284-1133
Practice Fax: 410-284-3371

1508839077 — DR. DIANA FERTSCH MD PHD
Practice Location Address:

1792 MERRITT BLVD , DUNDALK PEDIATRIC ASSOCIATES
DUNDALK, MD
21222-2122

Practice Phone: 410-284-1133
Practice Fax: 410-284-3371

1437122918 — KULWANT S AHLUWALIA MD
Practice Location Address:

2112 DUNDALK AVE
BALTIMORE, MD
21222

Practice Phone: 410-284-1133
Practice Fax: 410-284-3371

1922067099 — DR. SATYA S UPPALAPATI D.D.S
Practice Location Address:

2829 N POINT RD
DUNDALK, MD
21222-2415

Practice Phone: 410-288-5450
Practice Fax: 410-288-6988

Directions to “ MS. ANNA MARIE DEROOSE CRNP, CPNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.