1699730010 NPI number — RENEE J ORLANDO-HART C.R.N.P.

Table of content: RENEE J ORLANDO-HART C.R.N.P. (NPI 1699730010)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699730010 NPI number — RENEE J ORLANDO-HART C.R.N.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ORLANDO-HART
Provider First Name:
RENEE
Provider Middle Name:
J
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
C.R.N.P.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699730010
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/26/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1860 REISTERSTOWN RD
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
PIKESVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21208-1335
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-484-4044
Provider Business Mailing Address Fax Number:
410-740-4776

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
41 MAGNA WAY
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
WESTMINSTER
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21157-3008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-751-6684
Provider Business Practice Location Address Fax Number:
410-751-2371
Provider Enumeration Date:
04/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  R168932 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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