ANTORIAN CONSULTING SERVICES NPI 1790156891

NPI Information

  • NPI: 1790156891
  • Provider Name: ANTORIAN CONSULTING SERVICES
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: ANTORIAN HEALTH, LLC
  • Address: 7004 SECURITY BLVD # 300-A27
    BALTIMORE, MD
    ZIP 21244
  • Phone: (410) 246-2830

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NPI Details

ANTORIAN CONSULTING SERVICES is a family nurse practitioner in Baltimore, MD. ANTORIAN CONSULTING SERVICES NPI is 1790156891. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Antorian Health, Llc.

The provider's business location address is:

7004 SECURITY BLVD # 300-A27
BALTIMORE, MD
ZIP 21244-557
Phone: (410) 246-2830
Fax: (410) 246-2831

The provider's authorized official is An'nita Moore-hebron .
The authorized official title is Owner and has the following contact phone number (410) 246-2830.

The enumeration date for this NPI number is 10/14/2015 and was last updated on 4/1/2024.

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
1363LF0000XNurse PractitionerFamilyR154023MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1429909400MEDICAIDMARYLAND

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: 3/30/2025

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