Danielle Tanner, | |
579 Baltimore Annapolis Blvd, Severna Park, MD 21146-3809 | |
(410) 975-5447 | |
Not Available |
Full Name | Danielle Tanner |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 579 Baltimore Annapolis Blvd, Severna Park, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144887407 | NPI | - | NPPES |
1518339209 | Other | MD | FAMILY PRACTICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R191374 (Maryland) | Primary |
Entity Name | Northwest Hospital Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508961988 PECOS PAC ID: 6204739352 Enrollment ID: O20040128000328 |
Entity Name | Sumit Bhutani Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366827362 PECOS PAC ID: 5799094892 Enrollment ID: O20151012000477 |
Entity Name | Aps Corelife Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780209866 PECOS PAC ID: 3971926122 Enrollment ID: O20200707002862 |
Mailing Address | Practice Location Address |
---|---|
Danielle Tanner, 6 Holly Path, Severna Park, MD 21146-4543 Ph: () - | Danielle Tanner, 579 Baltimore Annapolis Blvd, Severna Park, MD 21146-3809 Ph: (410) 975-5447 |
Erica Herdecker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 560 Jumpers Hole Rd, Severna Park, MD 21146 Phone: 301-788-8506 | |
Jean Jacklin, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Ritchie Hwy, Suite 203, Severna Park, MD 21146 Phone: 410-897-2936 Fax: 410-793-5240 | |
Danielle Mitsch, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 877 Baltimore Annapolis Blvd Ste 202, Severna Park, MD 21146 Phone: 410-684-3806 | |
Meredith Baker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 770 Ritchie Hwy Ste W19, Severna Park, MD 21146 Phone: 410-375-0444 | |
Sarah Kuhl, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 692 Ritchie Hwy, Severna Park, MD 21146 Phone: 410-721-2273 | |
Daphne Etienne, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Jones Station Rd W, Severna Park, MD 21146 Phone: 410-647-0451 |