MS. ELIZABETH ANN GOLDBERG CRNP-PMH NPI 1245631829

NPI Information

NPI: 1245631829
Provider Name: MS. ELIZABETH ANN GOLDBERG, CRNP-PMH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
421 FALLSWAY
BALTIMORE, MD
ZIP 21202
Phone: (443) 703-1312
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MS. Elizabeth Ann Goldberg, CRNP-PMH is a psychiatric/mental health nurse practitioner in Baltimore, MD with 11 years of experience. MS. Elizabeth Ann Goldberg, CRNP-PMH NPI is 1245631829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

421 FALLSWAY
BALTIMORE, MD
ZIP 21202-800
Phone: (443) 703-1312
Fax: (410) 244-8598

The NPI 1245631829 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/15/2014 and was last updated on 11/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	R186186	MARYLAND	No
2	363LF0000X	Nurse Practitioner	Family	R186186	MARYLAND	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R186186	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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