Tatiana G Smirnova, CRNP | |
25 Crossroads Dr, Suite 205, Owings Mills, MD 21117-5421 | |
(410) 602-7792 | |
(410) 602-9889 |
Full Name | Tatiana G Smirnova |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 20 Years |
Location | 25 Crossroads Dr, Owings Mills, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083685689 | NPI | - | NPPES |
4098102 00 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | R168730 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mid-atlantic Nephrology Associates Pa | 2769469006 | 63 |
Entity Name | Mid-atlantic Nephrology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356390108 PECOS PAC ID: 2769469006 Enrollment ID: O20040702001212 |
Mailing Address | Practice Location Address |
---|---|
Tatiana G Smirnova, CRNP 1589 Sulphur Spring Rd, Suite 109, Baltimore, MD 21227-2542 Ph: (410) 536-5400 | Tatiana G Smirnova, CRNP 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117-5421 Ph: (410) 602-7792 |
Adedayo Temitope Omobo, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10999 Red Run Blvd Ste 205, Owings Mills, MD 21117 Phone: 240-462-7690 | |
Ernestina A. Ohene-agyakwah, CRNP-PMH BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 1355, Owings Mills, MD 21117 Phone: 443-413-9942 | |
Jennifer Pullmann, RN, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117 Phone: 410-602-7792 Fax: 410-602-9889 | |
Amanda Harner, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Campus Cir, Owings Mills, MD 21117 Phone: 443-352-4200 | |
Samson Olanrewaju Arigbamu, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10451 Mill Run Cir Ste 730, Owings Mills, MD 21117 Phone: 410-303-0057 Fax: 410-358-4938 | |
Nkiru Nonso-ekweozoh, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9419 Common Brook Rd Ste 208, Owings Mills, MD 21117 Phone: 410-864-0211 Fax: 410-618-4163 | |
Judith W. Ryan, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10989 Red Run Blvd, Suite 208, Owings Mills, MD 21117 Phone: 410-654-8602 Fax: 410-654-8709 |