MEDICARE: ZEPHYR AGENA NRP

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	146L00000X	Paramedic	2253001	MD

General Provider Information

NPI Number	:	1750213690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZEPHYR AGENA NRP

Provider Business Mailing Address
First Line	:	1220 E JOPPA RD STE C-506
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21286-5811
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 E JOPPA RD STE C-506
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21286-5811
Country	:	US
Telephone Number	:	410-375-6915
Fax Number	:

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ ZEPHYR AGENA NRP” Practice Location

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