DIANA VANROON


Address: 4339 Ebenezer Road, Baltimore, MD 21236
Phone: 4437456506

DIANA VANROON (NPI# 1346612710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346612710
Entity Type Individual
Full Name DIANA VANROON
Other Name DIANA ZAMBIDIS
Credential CRNP
Practice Address 4339 Ebenezer Road
Baltimore
MD 21236
Practice Telephone 4437456506
Mailing Telephone 4437456506
Enumeration Date 2015-10-26
Last Update Date 2015-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R152706 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4339 EBENEZER ROAD
City BALTIMORE
State MD
Zip Code 21236

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NPI Name Taxonomy Address Enumeration
1376652727 Rite Aid of Maryland Inc Durable Medical Equipment & Medical Supplies 4339 Ebenezer Road, Perry Hall Shopping Center, Baltimore, MD 21236-2143 2006-08-30

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1750996930 Ashley Tyisha Sydnor Nurse Practitioner 2202 Park Ave Unit 302, Baltimore, MD 21217-4868 2020-09-14
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1457996688 Lashawn S Scott Nurse Practitioner 301 Saint Paul Pl Ste 409, Baltimore, MD 21202-2165 2019-11-12
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Competitor

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City BALTIMORE
Zip Code 21236

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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