MS. NANETTE GABRIELLE MAMEDOV CRNP-FAMILY NPI 1306311717

NPI Information

NPI: 1306311717
Provider Name: MS. NANETTE GABRIELLE MAMEDOV, CRNP-FAMILY
Classification: Clinical Nurse Specialist - 364SF0001X
Entity Type: Individual

Specialization: Family Health

Organization: SINAI HOSPITAL OF BALTIMORE, INC

PECOS Registration: Yes

Address:
7601 OSLER DR
TOWSON, MD
ZIP 21204
Phone: (410) 337-1000
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MS. Nanette Gabrielle Mamedov, CRNP-FAMILY is a family health clinical nurse specialist in Towson, MD with 6 years of experience. MS. Nanette Gabrielle Mamedov, CRNP-FAMILY NPI is 1306311717. 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:

7601 OSLER DR
TOWSON, MD
ZIP 21204-700
Phone: (410) 337-1000

The NPI 1306311717 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 10/11/2018 and was last updated on 3/9/2022.

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	364SF0001X	Clinical Nurse Specialist	Family Health	R184664	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: 11/14/2023

NPI Synchronization or Removal

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